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October 26, 1970

An Impacted Fracture of the Femoral Neck

Author Affiliations

From the Fracture Clinic, Massachusetts General Hospital, Boston.

JAMA. 1970;214(4):735-740. doi:10.1001/jama.1970.03180040043009

Dr. Butler: The case for today is an impacted fracture of the femoral neck. It will be presented in several parts with discussion after each.

A 43-year-old woman slipped and fell on the ice on Jan 1, 1969, landing on her left hip. She was helped to their car by her brother, and taken to a local emergency room for examination. X-ray films (Fig 1) revealed an impacted fracture of the left femoral neck. She had sustained no other injuries, and was in excellent general health.

Dr. Aufranc will discuss the management of this case.

Dr. Aufranc: The impacted fracture of the neck of the femur will always present the same dilemma, namely, is it favorably or unfavorably impacted? How can we tell without giving it a "test of labor"? Do we find, if it holds together, that it is favorably impacted? Or do we assume, if it falls apart,