Hip Fractures: A Practical Approach to Diagnosis and Treatment

  • Jacob C. Mandell
  • Michael J. Weaver
  • Mitchel B. Harris
  • Bharti KhuranaEmail author
Emergency Radiology (J Yu, Section Editor)
Part of the following topical collections:
  1. Emergency Radiology


Purpose of Review

To summarize relevant anatomy, imaging, and treatment of hip fractures, and to synthesize a treatment-based approach for description and classification of hip fractures.

Recent Findings

Hip fractures are predominantly seen in the elderly, where they are increasing in incidence, and can substantially reduce healthy life-years. The osseous and vascular anatomy of the proximal femur can help to understand the clinical implications of various types of hip fracture. Radiographs are the principal imaging modality for assessment of hip fracture, although there is a clear role for CT and MRI for assessment of radiographically occult fractures. There are multiple classifications of hip fractures in the orthopedic literature; however, these are not commonly used in clinical practice due to complexity, poor reported inter-observer agreement, and relatively few methods of surgical fixation.


A simplified anatomic and treatment-based approach to hip fractures can help guide image interpretation and clinical management.


Hip fractures Imaging Emergency radiology 


Compliance with Ethics Guidelines

Conflict of interest

Jacob C. Mandell, Michael J. Weaver, Mitchel B. Harris, and Bharti Khurana each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Recently published papers of particular interest have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Jacob C. Mandell
    • 1
  • Michael J. Weaver
    • 2
  • Mitchel B. Harris
    • 3
  • Bharti Khurana
    • 4
    Email author
  1. 1.Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Harvard Medical SchoolBrigham and Women’s HospitalBostonUSA
  2. 2.Department of Orthopaedic Surgery, Harvard Medical SchoolBrigham and Women’s HospitalBostonUSA
  3. 3.Department of Orthopaedic Surgery, Harvard Medical SchoolMassachusetts General HospitalBostonUSA
  4. 4.Division of Emergency Radiology, Department of Radiology, Harvard Medical SchoolBrigham and Women’s HospitalBostonUSA

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