Femoral head fractures are very rare injuries, almost always caused by hip dislocations.
The standard classification of femoral head fractures is that of Pipkin. The key criterion in the Pipkin classification is whether the femoral head is fracture above or below the fovea. A type 1 fracture is with the fracture...

Background Avascular necrosis (AVN) of the femoral head is a pathologic process resulting from interruption of blood supply to bone. AVN of the hip is poorly understood but is the final common pathway of traumatic or nontraumatic factors that compromise the already precarious circulation of the femoral head. Femoral head ischemia...

Anatomical Considerations:
- osseous anatomy of proximal femur dictates where internal fixation device should be placed for maximum purchase in femoral head;
- maximum bone density is found in the area where compression & tension trabeculae coalesce in the center of the head;
...

We report seven children in whom traumatic haemarthrosis of the hip had produced lateral subluxation of the femoral head, which is different from the apparent displacement seen in Perthes' disease. In all seven cases, aspiration of the haemarthrosis allowed reduction of the femoral head, and follow-up for a mean of...

The Old Begets the New: Trochanteric Nail Insertion for Femoral Shaft Fractures, Revisited
Purpose : Intramedullary (IM) nailing of femoral shaft fractures through a trochanteric starting point with the patient in a lateral decubitus position was popularized in the 1940s by G. Kuntscher. Large diameter nails (without locks) were used to obtain an interference...

Cementation for Femoral Head Osteonecrosis: A Preliminary Clinic Study. Clinical Orthopaedics & Related Research. 412:94-102, July 2003. Wood, Mark L. MD; McDowell, Cathy M. RN; Kelley, Scott S. MD Abstract: Treatment for femoral head osteonecrosis has been less successful in late stages of the disease, after progression to collapse. The current...

Anatomy: - extracapsular arterieal ring at the base of the femoral neck; - formed posteriorly by large branch of MFCA - formed anteriorly by smaller branches...

Hungerford, D. S. Early Diagnosis of Ischemic Necrosis of the Femoral Head. Johns Hopkins Medical Journal, 137 (1975), 270-275
Intraosseous pressure in the intertrochanteric region, and response to a five milliliter saline load injected intraosseously were measured in twenty-four hips in twenty patients with ischemic necrosis of the femoral head and...

Osteonecrosis of the Femoral Head from Medscape General Medicine™ Posted 05/07/2003 Brett Levine, MS, MD, William Jaffe, MD Introduction Osteonecrosis of the femoral head (ONFH) is the end point of a variety of disease processes resulting in decreased blood flow and, ultimately, cellular death within the femoral head.[1] This debilitating disease typically affects younger patients...

Avascular necrosis of the femoral head in sickle-cell disease. Treatment of collapse by the injection of acrylic cement. Hernigou P, Bachir D, Galacteros F. Henri Mondor Hospital, Creteil, France. In ten patients with sickle-cell disease, we used a new technique of cement injection for the treatment of 16 painful hips with a radiographic...

Synonyms and related keywords: SCFE, hip disorder, slipped hip, adolescent hip disorder, femoral head displacement, Salter-Harris physeal fracture, Salter-Harris fracture, hip pain, hip joint pain
Contents - Introduction Clinical Differentials Workup Treatment Medication Follow-up Miscellaneous Multimedia References
Slipped capital femoral epiphysis (SCFE) persists as one of the most common adolescent hip disorders...

Femoroacetabular impingement or FAI is a condition of too much friction in the hip joint. Basically, the ball (femoral head) and socket (acetabulum) rub abnormally creating damage to the hip joint. The damage can occur to the articular cartilage (smooth white surface of the ball or socket) or... Patient Provider

Avascular necrosis has been documented following Disseminated Intravascular Coagulation 2 . We are presenting such a case of bilateral avascular necrosis of femoral heads, which interestingly was followed by the spontaneous presentation of the patient's sister with a unilateral avascular necrosis of the femoral head. Both sisters presented with symptoms...

Co-authors: Milford H. Marchant Jr., M.D., Allston Stubbs, M.D., Carl J. Basamania, M.D. March 15, 2005
Background:
- Definition: In situ death of bone within the humeral head due to disruption of blood supply
...

We have observed damage to the labrum as a result of repetitive acetabular impingement in non-dysplastic hips, in which the femoral neck appears to abut against the acetabular labrum and a non-spherical femoral head to press against the labrum and adjacent cartilage. In both mechanisms anatomical variations of the proximal...

Contents - Introduction Differentials Radiograph CT Scan MRI Ultrasound Nuclear Medicine Angiography Intervention Pictures Bibliography
Synonyms and related keywords: Legg-Calvé-Perthes, Legg-Perthes disease, Perthes disease, idiopathic avascular necrosis of the proximal femoral epiphysis, pediatric hip disorder, childhood hip disorder, epiphyseal bone infarction, femoral head infarction, Chandler disease, LPD, LCP, Chandler disease
Legg-Calvé-Perthes...

Hip fractures are classified as intracapsular, which includes femoral head and neck fractures, or extracapsular, which includes trochanteric, intertrochanteric, and subtrochanteric fractures. The location of the fracture and the amount of angulation and comminution play integral roles in the overall morbidity of the patient, as does the preexisting physical condition...

Garden III
complete fracture with partial displacement;
- "if it needs a reduction, then its a type III fracture;"
- frequently there is shortening and external rotation of distal frag;
- retinaculum of Weitbrecht remains attached to, & maintains continuity between, the...

Wheeless' Textbook of Orthopaedics. Links to a complete list of fractures.
Acetabular Fracture Ankle Fractures Barton's Fracture: ...

Five patients are described with avascular necrosis of the femoral head who presented with ipsilateral trochanteric bursitis, in the absence of clearcut hip joint disease. Avascular necrosis was indicated by magnetic resonance imaging. It is suggested that clinical trochanteric bursitis, especially when refractory to local corticosteroid treatment, may be the...

AJR 2002; 178:973-977 (full text) Femoral Head Osteochondral Lesions in Painful Hips of Athletes: MR Imaging Findings Carolyn J. Weaver1, Nancy M. Major, William E. Garrett and James E. Urbaniak
OBJECTIVE. This study describes the MR imaging findings of focal osteochondral lesions found in the hips of 11 athletes with persistent...

CONCLUSION: Both bone marrow edema and joint effusions existed with a peak occurrence in stage III disease. Bone marrow edema seems to have a stronger association with pain than does joint effusion in osteonecrosis of the femoral head.
MR imaging of bone marrow edema and joint effusion in patients with osteonecrosis...

Osteonecrosis of the femoral head (ONFH) is the end point of a variety of disease processes resulting in decreased blood flow and, ultimately, cellular death within the femoral head. This debilitating disease typically affects younger patients (average age at treatment, 33-38 years old) and results in destruction of the hip...

Contents - Introduction Workup Treatment Complications Outcome And Prognosis Pictures Bibliography
Synonyms and related keywords: LCPD, osteochondrosis of the femoral head, avascular necrosis of the proximal femoral head, intermittent limp, abductor lurch, painless limp, persistent hip pain, Trendelenburg gait
Legg-Calvé-Perthes disease (LCPD) is avascular necrosis of the proximal femoral head resulting...

Synonyms and related keywords: LCPD, Legg-Calvé-Perthes disease, Legg disease, Legg's disease, Legg-Perthes disease, Calvé-Perthes disease, coxa plana, osteochondritis deformans juvenilis, Perthes disease, pseudocoxalgia, quiet hip disease, idiopathic osteonecrosis of capital femoral epiphysis of femoral head, hip pain, groin pain, knee pain, thigh pain, limp, decreased range of motion, painful gait,...