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Garden's classification of femoral neck fracture

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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This classification relies only upon the appearance of the hip on the AP radiograph. It is used to determine the appropriate treatment.

  • stage I : incomplete fracture of the neck (so-called abducted or impacted)

  • stage II : complete without displacement

  • stage III: complete with partial displacement: fragments are still connected by posterior retinacular attachment; there is malalignment of the femoral trabeculae

  • stage IV : this is a complete femoral neck fracture with full displacement: the proximal fragment is free and lies correctly in the acetabulum so that the trabeculae appear normally aligned

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