Hip Injuries - Femoral Neck Fracture

Authors: Layla Abubshait, MD, Michael Gottlieb, MD, RDMS, Mary Haas, MD
Updated: 11/14/2016

Hip Injuries: Femoral Neck Fracture

Femoral neck fracture drawing

Xray Views

  • AP pelvis
  • Cross-table lateral of hip
  • AP/lateral of entire femur

Acute Management


Follow-up Timing

Admit and consult an orthopedic surgeon.


High risk for missed occult fracture:

  • Up to 10% are radiographically occult (XR negative) [Gill et al.]
  • At risk: Older osteoporotic patient
  • MRI is definitive, subsequent imaging modality


  • Gill SK, Smith J, Fox R, Chesser TJ. Investigation of occult hip fractures: the use of CT and MRI. Scientific World Journal. 2013;2013:830319. [PubMed]
  • Rodriguez-Merchan EC, Moraleda L, Gomez-Cardero P. Injuries associated with femoral shaft fractures with special emphasis on occult injuries. Arch Bone Jt Surg. 2013 Dec;1(2):59-63. [PubMed]