Hip Fracture

A hip fracture is a serious injury that occurs when the upper portion of the femur (thighbone) breaks near the hip joint. Hip fractures can result from falls, direct trauma, or weakened bones caused by osteoporosis and other medical conditions. These injuries often cause sudden pain, difficulty moving, and an inability to bear weight on the affected leg.

Because hip fractures can significantly impact mobility, independence, and overall health, prompt evaluation and treatment are critical. At Fox Valley Orthopedics, our specialists provide comprehensive care designed to restore function, relieve pain, and help patients return to their daily activities safely.

What Is a Hip Fracture?

The hip is a ball-and-socket joint formed by the femoral head (the top of the thighbone) and the pelvis. A hip fracture occurs when part of the upper femur breaks due to trauma or bone weakness.

What Types of Hip Fractures Are There?

Hip fractures can occur in several locations near the hip joint.

Femoral Neck Fractures

A femoral neck fracture occurs just below the ball of the hip joint. Because this area has a limited blood supply, these fractures may require surgical repair or hip replacement to ensure proper healing.

Intertrochanteric Hip Fractures

Intertrochanteric fractures occur farther down the femur between two bony prominences known as the greater and lesser trochanters. These fractures are common and often respond well to surgical fixation.

Subtrochanteric Hip Fractures

Subtrochanteric fractures occur below the trochanteric region of the femur. These injuries often result from significant trauma and may require specialized surgical treatment.

What Causes a Hip Fracture?

Hip fractures can develop from either traumatic injuries or weakened bone structures.

Common causes include:

• Falls, particularly in older adults
• Direct blows to the hip
• Motor vehicle accidents
• Sports-related injuries
• Osteoporosis and low bone density
• Repetitive stress injuries in athletes
• Certain medical conditions that weaken bone strength

For many older adults, even a simple fall from standing height can result in a hip fracture when bone density has been reduced.

What Are Hip Fracture Symptoms?

Hip fracture symptoms typically develop immediately after the injury and often make walking or standing difficult.

Common symptoms include:

• Severe pain in the hip or groin
• Inability to bear weight on the affected leg
• Difficulty walking or standing
• Swelling and bruising around the hip
• Stiffness and reduced range of motion
• The affected leg appearing shorter than the other
• The leg turning outward while lying down
• Pain that worsens with movement

Any suspected hip fracture should be evaluated promptly by a medical professional.

How Is a Hip Fracture Diagnosed?

A hip fracture diagnosis begins with a thorough physical examination and review of the injury.

Diagnostic testing may include:

• Physical examination
• X-rays to identify the fracture location and severity
• CT scans for more detailed imaging
• MRI studies when fractures are suspected but not clearly visible on X-rays

Accurate diagnosis helps determine the most appropriate treatment plan and timing for intervention.

How Are Hip Fractures Treated?

Most hip fractures require surgical treatment to restore stability and allow for safe mobility.

How Long Does it Take to Recover from a Hip Fracture?

Recovery following a hip fracture varies based on the severity of the injury and the type of treatment performed.

Many patients begin physical therapy shortly after surgery to encourage mobility, improve strength, and reduce complications associated with prolonged inactivity.

Recovery considerations often include:

• Pain management
• Physical therapy and rehabilitation
• Balance and strength training
• Gradual return to walking and daily activities
• Fall prevention strategies

While some patients recover within a few months, others may require extended rehabilitation to regain confidence and function.

How Can Hip Fractures Be Prevented?

For individuals at higher risk, preventive measures can help reduce the likelihood of future fractures.