Only a very small group of nondisplaced fractures in healthy patients can be treated without surgery, while a separate small group of patients may be too sick to safely have surgery. Most hip fractures require surgical treatment within 1 to 2 days of injury. Most hip fractures can be diagnosed with an X-ray. X-rays provided images of dense structures, such as bone. Imaging studies will help confirm the diagnosis and provide more information about the fracture. With this type of fracture, you may still be able to move your leg and bear weight even though it is painful. In this situation, you may choose to go to a doctor’s office rather than an emergency room. Typically, these are nondisplaced fractures of the femoral neck. There may be a bruise on the outer part of the hip or thigh at the point of impact where you fell, and all movement will be limited and painful.Ī small number of hip fractures may not be as painful at first. Often, the injured leg will appear shorter than the opposite leg and will be twisted or rotated, either internally or externally. The doctor will also check the sensation, movement, and circulation in your lower leg. They will take a history of your injury and check to make sure that you do not have injuries to other parts of your body. Most of the time, a patient with a hip fracture will be taken by ambulance to a hospital emergency room.Īt the hospital, you will be examined by either an emergency room physician or an orthopaedic surgeon.
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