Star InactiveStar InactiveStar InactiveStar InactiveStar Inactive

No Longer Hip

Author: Sean Aubuchon, MD
Peer-Reviewer: Justine Ko, MD, CAQ-SM
Final Editor: Alex Tomesch, MD, CAQ-SM

A 77-year-old female with past medical history significant for Parkinson’s disease and hypertension presents to the ED after a mechanical fall upon getting into bed. Since that time, she has endorsed left hip pain and inability to ambulate.

X-ray of a hip bone

Description automatically generated  A close-up of a bone

Description automatically generated

Image 1 and 2. Plain radiographs of the patient’s left hip. Author’s own images.



[1] Emmerson BR, Varacallo M, Inman D. Hip Fracture Overview. InStatPearls [Internet] 2023 Aug 08. StatPearls Publishing.Available;

[2] Attum, B., & Pilson, H.  Intertrochanteric Femur Fracture. In StatPearls [Internet] 2023 Aug 08. StatPearls 

[3] Zuckerman J. D. (1996). Hip fracture. The New England journal of medicine, 334(23), 1519–1525.

[4 ]Bozorgia, F., Azarb, M. S., Heidaria, S. F., & Khalilianc, A. (2017). Accuracy of Ultrasound for Diagnosis of Femur Bone Fractures in Traumatic Patients. Journal of Clinical & Experimental Orthopaedics, 3(1:27).

[5] Handoll, H. H., Queally, J. M., & Parker, M. J. (2011). Pre-operative traction for hip fractures in adults. The Cochrane database of systematic reviews, (12), CD000168.

[6] Girón-Arango, L., Peng, P. W. H., Chin, K. J., Brull, R., & Perlas, A. (2018). Pericapsular Nerve Group (PENG) Block for Hip Fracture. Regional anesthesia and pain medicine, 43(8), 859–863.

[7] Chlebeck, J. D., Birch, C. E., Blankstein, M., Kristiansen, T., Bartlett, C. S., & Schottel, P. C. (2019). Nonoperative Geriatric Hip Fracture Treatment Is Associated With Increased Mortality: A Matched Cohort Study. Journal of orthopaedic trauma, 33(7), 346–350.

[8] Fischer, H., Maleitzke, T., Eder, C., Ahmad, S., Stöckle, U., & Braun, K. F. (2021). Management of proximal femur fractures in the elderly: current concepts and treatment options. European journal of medical research, 26(1), 86.