From the Guidelines
Symptoms of a broken hip typically include severe pain in the hip or groin area, especially when trying to move or bear weight on the affected leg, as well as an inability to stand or walk, with the injured leg often appearing shorter and turned outward 1. The symptoms can vary in severity, with some patients experiencing mild discomfort, while others may have more pronounced symptoms such as swelling, bruising, and tenderness around the hip area.
- Common symptoms include:
- Severe pain in the hip or groin area
- Inability to stand or walk
- Shortened, externally rotated leg on the affected side
- Swelling, bruising, and tenderness around the hip area
- Stiffness and reduced range of motion In certain cases, particularly in older adults, the symptoms might be less pronounced, with only mild discomfort or an inability to bear weight 1. It is essential to seek immediate medical attention if a hip fracture is suspected, as prompt treatment is crucial to prevent complications and restore mobility and function 1. The diagnosis typically requires imaging tests like X-rays or MRI, and treatment usually involves surgery followed by rehabilitation to restore mobility and function 1. Pain management is also critical, and analgesics such as opioids, paracetamol, or non-steroidal anti-inflammatory drugs (NSAIDs) may be used, with the choice of medication depending on the severity of the pain and the patient's clinical features 1.
From the Research
Symptoms of a Broken Hip
The symptoms of a broken hip can vary, but common signs include:
- Pain in the groin area 2, 3, 4
- Inability to bear weight on the affected leg 2, 3, 4
- Shortening and external rotation of the affected limb 2, 3
- Difficulty walking or mobility issues 2, 3, 4
- Vague pain in the buttocks, knees, thighs, or back 3
- Swelling, bruising, or deformity in the hip area
Presentation and Diagnosis
Patients with a broken hip may present with a range of symptoms, from severe pain and inability to walk to more subtle signs such as vague pain or difficulty bearing weight 3, 4. A physical examination and plain radiography are typically used to diagnose a hip fracture, although magnetic resonance imaging (MRI) may be necessary if the diagnosis is unclear 2, 3, 4.
Risk Factors and Complications
Certain risk factors, such as osteoporosis, increased fall risk, and chronic medication use, can increase the likelihood of a hip fracture 2, 4. Complications of a broken hip can include delirium, joint infection, and venous thromboembolism, emphasizing the importance of prompt diagnosis and treatment 2, 4.