Fractured Hip

12 min read

A fractured hip is a break or crack in the upper part of the femur (thighbone). It is a common injury, especially in older adults, and can be caused by a fall, a direct blow to the hip, or a twisting motion. The severity of the fracture depends on the location and type of fracture.

Types of Fractured Hip

The most common types of fractured hip are:

  • Stable fractures: These fractures are less severe and the broken pieces of bone remain in place.
  • Unstable fractures: These fractures are more severe and the broken pieces of bone move out of place.
  • Comminuted fractures: These fractures involve the bone being broken into multiple pieces.
  • Impacted fractures: These fractures involve the bone being forced into the joint.

Diagnosis of Fractured Hip

A fractured hip is usually diagnosed with an X-ray. Other imaging tests, such as a CT scan or MRI, may be used to get a better look at the fracture. Your doctor may also order blood tests to check for signs of infection or other complications.

Complications of Fractured Hip

Complications of a fractured hip can include:

  • Infection
  • Blood clots
  • Damage to nerves or blood vessels
  • Joint stiffness
  • Loss of range of motion
  • Osteoarthritis

Prevention of Fractured Hip

The best way to prevent a fractured hip is to take steps to reduce your risk of falls. This includes:

  • Exercising regularly to improve balance and strength
  • Using assistive devices, such as a cane or walker
  • Making your home safer by removing tripping hazards
  • Wearing shoes with good traction
  • Having your vision checked regularly
Take the Fractured Hip Assessment

Symptoms

Common Symptoms of a Fractured Hip

  • Severe pain in the hip area
  • Difficulty walking or standing
  • Swelling and bruising around the hip
  • Inability to move the hip joint
  • Deformity of the hip area

When to Seek Medical Attention

If you experience any of the above symptoms, it is important to seek medical attention as soon as possible. A fractured hip can be a serious injury and can lead to long-term disability if not treated promptly. Your doctor will be able to diagnose the injury and recommend the best course of treatment.

Causes

Falls

Falls are the most common cause of a fractured hip. This is especially true for older adults, who are more likely to suffer from a hip fracture due to weakened bones. Falls can occur due to a variety of reasons, such as tripping on an uneven surface, slipping on a wet surface, or losing balance due to a medical condition.

Sports Injuries

Sports injuries are another common cause of a fractured hip. This is especially true for contact sports, such as football and hockey, where players are more likely to suffer from a hip fracture due to a direct blow to the hip. Other sports, such as running and skiing, can also cause a hip fracture due to the repetitive stress placed on the hip joint.

Osteoporosis

Osteoporosis is a condition that causes the bones to become weak and brittle. This can increase the risk of a hip fracture, as the bones are more likely to break under the pressure of everyday activities. Osteoporosis is more common in older adults, but it can also affect younger people.

Trauma

Trauma, such as a car accident or a fall from a great height, can also cause a hip fracture. This is because the force of the impact can cause the bones to break.

Medical Conditions

Certain medical conditions, such as cancer and arthritis, can also increase the risk of a hip fracture. This is because these conditions can weaken the bones and make them more prone to breaking.

Getting a Diagnosis

Physical Examination

The first step in diagnosing a fractured hip is a physical examination. During the physical exam, the doctor will check for tenderness, swelling, and deformity in the hip area. The doctor may also check for range of motion and strength in the hip and leg. In some cases, the doctor may order an X-ray to confirm the diagnosis.

Imaging Tests

Imaging tests such as X-rays, CT scans, and MRIs are often used to diagnose a fractured hip. X-rays are the most common imaging test used to diagnose a fractured hip. X-rays can show the location and severity of the fracture. CT scans and MRIs can provide more detailed images of the fracture and can help the doctor determine the best course of treatment.

Other Tests

In some cases, the doctor may order other tests to help diagnose a fractured hip. These tests may include blood tests, urine tests, and bone scans. Blood tests can help the doctor determine if there is any infection or inflammation in the hip area. Urine tests can help the doctor check for signs of kidney damage. Bone scans can help the doctor determine if there is any damage to the bone.

Conclusion

Diagnosis of a fractured hip typically involves a physical examination, imaging tests, and possibly other tests. X-rays are the most common imaging test used to diagnose a fractured hip. CT scans and MRIs can provide more detailed images of the fracture. In some cases, the doctor may order other tests such as blood tests, urine tests, and bone scans to help diagnose a fractured hip.

Questions for Your Doctor

Pain Management

Discussing pain management is an important part of your recovery. Your doctor can help you find the best way to manage your pain, whether it is through medication, physical therapy, or other treatments. Make sure to tell your doctor about any medications you are taking, as well as any allergies you may have.

Rehabilitation

Rehabilitation is an important part of recovering from a fractured hip. Your doctor can help you find the best rehabilitation program for your needs. They can also provide advice on how to stay active and safe during your recovery.

Surgery

In some cases, surgery may be necessary to repair a fractured hip. Your doctor can discuss the risks and benefits of surgery with you, as well as any other options that may be available. Make sure to ask any questions you may have about the procedure.

Follow-up Care

Your doctor can provide advice on follow-up care after your fracture has healed. This may include physical therapy, lifestyle changes, or other treatments. Make sure to ask your doctor about any follow-up care that may be necessary.

Treatment

Rest

Rest is an important part of the healing process for a fractured hip. It is important to limit activities that put stress on the hip, such as walking, running, and jumping. Your doctor may recommend that you use crutches or a walker to help you get around. You may also need to use a wheelchair or bed rest for a period of time.

Physical Therapy

Physical therapy is an important part of the recovery process for a fractured hip. Physical therapy can help to strengthen the muscles around the hip, improve range of motion, and reduce pain. Your physical therapist may also recommend exercises to help improve balance and coordination.

Medications

Your doctor may prescribe medications to help reduce pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen are commonly used to reduce pain and swelling. Your doctor may also prescribe opioids or muscle relaxants to help manage pain.

Surgery

In some cases, surgery may be necessary to repair a fractured hip. Surgery may involve the insertion of pins, plates, or screws to hold the bones in place. In some cases, a hip replacement may be necessary. Your doctor will discuss the risks and benefits of surgery with you.

Conclusion

Treatment for a fractured hip depends on the type and severity of the fracture. In general, treatment options include rest, physical therapy, medications, and surgery. It is important to follow your doctor's instructions and to get plenty of rest to ensure a successful recovery.

Drugs & Medications

Pain Medications

Pain medications are often prescribed to help manage the pain associated with a fractured hip. These medications can include over-the-counter pain relievers such as ibuprofen or acetaminophen, as well as prescription opioids such as oxycodone or hydrocodone. It is important to take these medications as directed by your doctor to avoid any potential side effects.

Anti-Inflammatory Medications

Anti-inflammatory medications, such as ibuprofen or naproxen, can help reduce swelling and inflammation around the fracture site. These medications can also help reduce pain and discomfort associated with the injury. It is important to take these medications as directed by your doctor to avoid any potential side effects.

Muscle Relaxants

Muscle relaxants, such as cyclobenzaprine or carisoprodol, can help reduce muscle spasms and pain associated with a fractured hip. These medications can also help improve mobility and range of motion. It is important to take these medications as directed by your doctor to avoid any potential side effects.

Bone-Strengthening Medications

Bone-strengthening medications, such as bisphosphonates or calcitonin, can help promote bone healing and reduce the risk of further fractures. These medications can also help reduce pain and discomfort associated with the injury. It is important to take these medications as directed by your doctor to avoid any potential side effects.

Conclusion

A fractured hip is a serious injury that requires medical attention. Depending on the severity of the fracture, treatment may involve medications, physical therapy, or even surgery. Pain medications, anti-inflammatory medications, muscle relaxants, and bone-strengthening medications can all be prescribed to help manage the pain and promote healing. It is important to take these medications as directed by your doctor to avoid any potential side effects.

Diet

Foods to Eat

When you have a fractured hip, it’s important to eat a balanced diet that includes plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of nutrient-dense foods can help you get the vitamins and minerals you need to heal and recover from your injury.

  • Fruits: Apples, oranges, bananas, berries, melons, and other fresh fruits
  • Vegetables: Leafy greens, broccoli, carrots, peppers, squash, and other fresh vegetables
  • Whole grains: Oats, quinoa, brown rice, barley, and other whole grains
  • Lean proteins: Chicken, turkey, fish, eggs, beans, and other lean proteins
  • Healthy fats: Avocados, nuts, seeds, olive oil, and other healthy fats

Foods to Avoid

When you have a fractured hip, it’s important to avoid certain foods that can slow down your healing process. These include processed foods, refined sugars, and unhealthy fats.

  • Processed foods: Packaged snacks, frozen meals, and other processed foods
  • Refined sugars: Candy, soda, and other sugary foods and drinks
  • Unhealthy fats: Fried foods, processed meats, and other foods high in saturated fat

Conclusion

Eating a healthy diet can help you heal and recover from a fractured hip. Make sure to include plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats in your diet. Avoid processed foods, refined sugars, and unhealthy fats. With the right diet, you can get back to your normal activities in no time.

Lifestyle

Exercise

Exercise is an important part of recovery from a fractured hip. It can help strengthen the muscles around the hip, improve flexibility, and reduce pain. Talk to your doctor or physical therapist about the best exercises for your particular injury. They may recommend low-impact activities such as swimming, walking, or cycling.

Diet

Eating a healthy diet is essential for recovery from a fractured hip. Eating a balanced diet with plenty of fruits, vegetables, and lean proteins can help your body heal and provide the nutrients it needs to stay strong. Avoid processed foods and sugary snacks, as these can slow down the healing process.

Rest

Getting enough rest is essential for recovery from a fractured hip. Make sure to get plenty of sleep each night and take breaks during the day if you need them. Avoid activities that put too much strain on your hip, such as running or jumping.

Support

Having a support system is important for recovery from a fractured hip. Talk to your friends and family about your injury and ask for help when you need it. You may also want to join a support group for people with similar injuries.

Pain Management

Managing your pain is an important part of recovery from a fractured hip. Talk to your doctor about the best pain management plan for you. They may recommend medications, physical therapy, or other treatments to help reduce your pain.

Follow-Up Care

Follow-up care is essential for recovery from a fractured hip. Make sure to attend all of your follow-up appointments and follow your doctor's instructions. This will help ensure that your hip is healing properly and that you are on the right track to recovery.