Garden classification of hip fractures
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/9/1/1/6/6/Laterale_Schenkelhalsfraktur_links_44W_-_CR_ap_-_001_thumb.jpg)
Laterale
Schenkelhalsfraktur, Garden III (komplette Fraktur, partiell disloziert) links. Mit abgebildete Kalibrierungskugel für eventuelle Planung einer Prothese.
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/0/9/8/4/bb78b24a344138e10e6910753613c8_big_gallery_thumb.jpg)
Garden
classification of hip fractures • Garden classification of hip fractures (diagram) - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/0/9/8/5/78c4bf7dbb89861ce7fcb3a77c1c85_big_gallery_thumb.jpg)
Garden
classification of hip fractures • Fractured neck of femur - Garden type III - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/0/9/8/6/581245c10c78faebb101ea798b6508_big_gallery_thumb.jpg)
Garden
classification of hip fractures • Subcaptial fractured neck of femur - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/1/7/7/8/4/160e5b5b5f175368cd520f7a0c6212_big_gallery_thumb.jpg)
Neck of femur
fracture • Impacted femoral neck fracture - Ganzer Fall bei Radiopaedia
The Garden classification of subcapital femoral neck fractures is the most widely used. It is simple and predicts the development of AVN . Garden described particular femoral neck and acetabular trabeculae patterns which can assist in recognizing differences within this classification system .
- Garden stage I: undisplaced incomplete, including valgus impacted fractures
- medial group of femoral neck trabeculae may demonstrate a greenstick fracture
- Garden stage II: undisplaced complete
- no disturbance of the medial trabeculae
- Garden stage III: complete fracture, incompletely displaced
- femoral head tilts into a varus position causing its medial trabeculae to be out of line with the pelvic trabeculae
- Garden stage IV: complete fracture, completely displaced
- femoral head aligned normally in the acetabulum and its medial trabeculae are in line with the pelvic trabeculae
In general, stage I and II are stable fractures and can be treated with internal fixation (head-preservation) and stage III and VI are unstable fractures and hence treated with arthroplasty (either hemi- or total arthroplasty) .
Siehe auch:
und weiter:
![Click für weniger anzeigen](/sites/all/modules/pacs/tools/imgs/collapse_up.png)
![](/sites/all/modules/pacs/tools/imgs/Iris_color_40.png)