RadEssentialReading-room reference

Garden femoral neck fracture

Garden 1961XRTrauma

Graded on AP radiograph. In practice grouped as non-displaced (I–II) vs displaced (III–IV), which drives fixation vs arthroplasty.

TypeDescriptionGroup
IIncomplete or valgus impactedNon-displaced
IIComplete, non-displacedNon-displaced
IIIComplete, partially displaced; trabeculae malalignedDisplaced
IVComplete, fully displaced; trabeculae of head realign with acetabulumDisplaced
Occult fracture with negative radiographs: MRI (T1 low-signal fracture line) is the preferred next test.

Sources

  1. 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.