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Garden's classification of femoral neck fracture

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

This classification relies only upon the appearance of the hip on the AP radiograph. It is used to determine the appropriate treatment.

  • stage I : incomplete fracture of the neck (so-called abducted or impacted)

  • stage II : complete without displacement

  • stage III: complete with partial displacement: fragments are still connected by posterior retinacular attachment; there is malalignment of the femoral trabeculae

  • stage IV : this is a complete femoral neck fracture with full displacement: the proximal fragment is free and lies correctly in the acetabulum so that the trabeculae appear normally aligned

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