Intracapsular #NOF, Garden classification
- Radiographic classification system based on AP pelvis XR. Effectively guides management and prognosis
| Type | Description | Management |
|---|---|---|
| 1 | Impacted / incomplete fracture | Can sometimes be managed with DHS / internal fixation. Risk of AVN significantly depends on posterior comminution due to the posterior ascending blood supply. |
| 2 | Complete fracture, undisplaced | Can be managed with DHS / internal fixation |
| 3 | Complete fracture, <50% displacement | Displaced, manage as for Garden 4 |
| 4 | >50% or completely displaced | Expect AVN, manage with primary THR or hemiarthroplasty |
Key reference (original not indexed in PubMed) Kazley JM, Banerjee S, Abousayed MM, Rosenbaum AJ. Classifications in Brief: Garden Classification of Femoral Neck Fractures. Clin Orthop Relat Res. 2018;476(2):441-445.
Intracapsular #NOF, Pauwels classification
- System designed for intra-capsular #NOF, based on AP XR, assessing sagittal plane of fracture, relating to its relative stability.
| Type | Fracture angle from horizontal plane |
|---|---|
| 1 | Less than 30° |
| 2 | 30-50° |
| 3 | Greater than 50° |
References
Author Contributions
Sean Griffiths, WH Resident, 2020
Reviewed by Professor Phong Tran, Head of Orthopaedic Surgery, Western Health. Last updated 10 October 2026.