Garden femoral neck fracture
Graded on AP radiograph. In practice grouped as non-displaced (I–II) vs displaced (III–IV), which drives fixation vs arthroplasty.
| Type | Description | Group |
|---|---|---|
| I | Incomplete or valgus impacted | Non-displaced |
| II | Complete, non-displaced | Non-displaced |
| III | Complete, partially displaced; trabeculae malaligned | Displaced |
| IV | Complete, fully displaced; trabeculae of head realign with acetabulum | Displaced |
Occult fracture with negative radiographs: MRI (T1 low-signal fracture line) is the preferred next test.
Sources
- Garden RS. Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg Br. 1961;43-B:647–663.PubMed ↗
Radessential summarizes published classification systems for practicing radiologists. Summaries are condensed; confirm details against the cited source before relying on them for patient care.
RadEssentialReading-room reference