Neck of Femur Fractures

So NOF’s aren’t the most glamorous of topics to cover on a podcast, but the difference we can make to patients but refining our care is huge.

Neck of femur fractures have a high and increasing incidence. They occur predominantly in frail patients who have the greatest risk of complications, both from the injury and medical interventions.

In this episode we’ll be running through their presentation, discuss both the clinical and radiological diagnostics. We’ll also be looking in depth about both pharmacological and non-pharmacological methods of pain relief and have a think about where fascia-iliaca compartment blocks sit with regards to pre and in- hospital practice.

Finally we’ll move on to the definitive surgical approach and in-hospital care.

Once again we’d love to hear any comments or questions either via the website or social media.

Enjoy!

Simon, Rob & James

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References

RCEMLearning; fractured neck of femur

NICE; hip fracture management (updated Jan 2023)

BOAST; Patients Sustaining a Fragility Hip Fracture

The sensitivity of CT scans in diagnosing occult femoral neck fractures. Z Sadozai. Injury. 2016

BestBets; CT vs. MRI in the occult hip fracture