Orthopedic Center with Orthopedist and Arthroplasty Services

What are femoral shaft fractures?

Among the most common orthopedic problems are fractures, occurring most often among older adults. However, younger people may experience them too.

To understand femoral neck fractures with femoral diaphysis, read about their characteristics, causes, symptoms, and surgical treatments.

For more information on femoral neck fracture surgery, click here.


Who is most prone to these fractures?

Fracture of the femur in its proximal region most often affects older people. Due to the degenerative characteristics of aging and the weakening of bones such as osteoporosis (which is more prevalent at this age), the neck of the femur is often affected.

Sudden Movement

For people with a disposition for them, any sudden movement can lead to a pathological femur fracture. Although hip failure is most often credited to falls, it can also be due to a fracture.

In young patients, overload in the proximal femur can result in a fracture.

Underlying reasons

The overload may cause fractures due to successive microtrauma sustained by the patient. Additionally, high stress owing to the forced contraction of the hip abductor muscles may cause an avulsion fracture of one of the trochanters.

Femoral diaphysis fractures

Fracture of the femoral shaft

The fracture of the femoral diaphysis may be identified by the presence of a radiolucent spiral-shaped line on the radiograph. When you apply rotational force that is transmitted to the femur but your foot remains anchored, fractures of the femur are usually a result.

Transverse fracture

A transverse fracture can also be caused when there is a force of angulation or direct trauma. These are commonly seen in accidents involving motorcycles.

When transverse fractures occur after a patient has passed middle age, they need to be observed carefully because of the risk of cancer.

Specific cases

Young adults frequently experience femoral neck fractures with femoral diaphysis. Fat embolism in cases of such fractures is not uncommon.

As a result of the injury, there may be a shortening of the leg and it could remain in external rotation. As a result, the thigh where the fracture is located may be swollen.

X-ray examination & diagnosis

During the radiographic analysis of the patient, we may find the fracture in any of the regions of the diaphysis. However, it’s frequently found in the middle third.

Separate triangular fragment

It can present itself with a separate triangular fragment (in the shape of a “butterfly”); it can also be transverse or spiral.

Occurring in any direction

The displacement may occur in any direction. Hence, there is an occasional presence of a pair of transverse fractures leaving the fragment of the femur isolated.


Pelvic injuries

X-ray examinations play a vital role in detecting pelvic or hip injuries. Without the thorough examination, these injuries may go unnoticed and the painful symptoms could exacerbate.

Fracture care

It’s vital to immobilize the fracture before you’re moved to a different location or operated on. To do this, the affected limb may be bound by a splint or sling to reduce movement and stabilize the fractured bones.

Patient Transport

When you’re being transported after sustaining a fracture, the most appropriate type of immobilization is the Thomas drip. This involves moving the leg by the drip ring and properly rectifying it. The foot is then tied to the crossbar to maintain traction. Shortly after, the limb and the ulnar gutter splint are tied together tightly.

Surgical treatment

In general, it is preferable that internal fixation is avoided when dealing with cases of open fractures. This depends on the technical factors that are evaluated by our orthopedist in the emergency room.

Closed fractures

There are various treatments to select from in cases of closed fractures, such as conservative treatments. However, surgical treatments are more common for these fractures, especially in the case of a small group of femur fractures.

Fractures in the upper portion

For fractures in the upper portion of the femur, surgical procedure is a viable and popular choice. This is because it’s possible to make use of a small incision technique to do internal fixation.

To schedule an appointment at the Arthroplasty clinic, reach out to us on WhatsApp by clicking here.


Nossa Estrutura

Unidade Higienópolis

Sala de espera com amplo espaço e conforto para a família que espera por uma consulta de ortopedia geral ou ortopedia infantil.

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Unidade Higienópolis
A clínica Artroplastias do ortopedista em São Paulo, Dr. Felipe possui sala para acolher o paciente e família.

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Unidade Higienópolis

Sala para um exame ortopédico completo, cujo objetivo é o diagnóstico preciso. A indicação de uma artroplastia de quadril se baseia no estudo clínico e radiográfico cuidadoso do paciente.

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