The hip joint comprises of the femur (thigh bone) and the pelvic bone. Hip fracture occurs when there is a crack or break in the upper part of the femur. Also known as a proximal femoral fracture, the injury is more common among people above the age of 65 years. With increasing age, the bones start losing calcium and tend to become fragile, thereby, making the individual susceptible to a fracture.


  • Sudden fall on a hard surface
  • Motorcycle or car accident Injury caused by a sports activity
  • Osteoporosis
  • Deficiency of calcium and vitamin D
  • Genetic factors


  • Severe pain in the hip and groin
  • Difficulty while moving and walking
  • Inability to put weight on the affected leg
  • Stiffness and inflammation around the hip
  • Bruising and discoloration
  • Leg tend to turn outwards to the injured side


  • The orthopedic doctor may conduct a physical examination to check for swelling, pain, tenderness in the injured hip.
  • He may also conduct an X-ray to determine the exact location and severity of the fracture.
  • A bone scan may be recommended in case of a hair line hip fracture.


Depending upon the age of the patient, medical history and the degree of displacement of hip joint, the orthopedic doctor may suggest the following treatment options:

Medication: Taking a course of anti-inflammatory medications, as prescribed by the orthopedic doctor, can help to reduce pain and inflammation.

Surgery: The following surgical procedures may be performed to treat a hip fracture:

  • Hip repair surgery: Also known as ‘hip pinning’, this procedure involves usage of metal screws, plates and rods to hold the bones together. The hip repair surgery is recommended when the bones can be aligned correctly.
  • Hip replacement surgery: In case of a major fracture, a hip replacement surgery may be required. In this procedure, the joint is partially or completely replaced by the doctor.
  • Physical therapy: Post-surgery, the patient may be advised to undergo physical therapy to restore movement in the hip joint.
  • Performing light exercises, under the guidance of a physiotherapist can help to regain lost joint strength and flexibility.

For complete diagnosis and treatment of hip fracture, visit OrthoTexas.