Seinsheimer classification

Hip fracture

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].

Overview

The "hip" joint is known as a ball-and-socket joint. It allows the femur bone to bend and rotate at the pelvis. Comparing to the injuries to the knee, ankle, and shoulder which are well documented, injuries to the hip, pelvis, and thigh get little attentions due to their lower prevalence. A hip fracture is a known as a fracture of the upper quarter of the femur bone while any other types of injuries to the socket, or acetabulum, itself is not considered a "hip fracture." Management of fractures to the socket is a completely different consideration. The hip fracture count as a serious problems associated with serious and life-threatening complications. Hip fractures most commonly occur due to the:

Fall to the side of the hip A direct blow to the side of the hip Other medical conditions such as osteoporosis, cancer, or stress injuries affecting the strength. During fracture the most common site of fracture are:

The head of the femur The neck of the femur Between or below the greater trochanter and the lesser trochanters

Seinsheimer Classification

Seinsheimer Classification
Type I	less than 2mm displacement
Type II	A: 2-part transverse fracture B: 2-part spiral fracture with lesser trochanter attached to the proximal fragment C: 2-part spiral fracture with lesser trochanter attached to the distal fragment
Type III	A: 3-part spiral fracture with lesser trochanter as separate fragment B: 3-part spiral fracture with butterfly fragment
Type IV	Comminuted fracture with 4 or more fragments
Type V	Fracture with proximal extension into the greater trochanter

Related Chapters

• Hip fracture