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Hip fracture disposition — ABEM Board MCQ

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EasyMusculoskeletal/Orthopedic emergenciesHip fracture dispositionABEM Board

An 84-year-old woman arrives after a ground-level fall with right hip pain. Triage acuity is ESI 3; BP 142/82 mm Hg, HR 92/min. The right leg is shortened and externally rotated. Radiograph shows a displaced femoral neck fracture. She lives alone and cannot ambulate. Which of the following is the most appropriate disposition?

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Correct answer: D — Admit for operative management and pain control

Displaced femoral neck fracture in an older adult requires admission for analgesia, medical optimization, and operative management.

Reference: AAOS hip fracture guideline