Femoral Neck Fracture: Medical History

Medical history (history of illness) is an important component in the diagnosis of femoral neck fracture (femoral neck fracture).

Family history

  • Are there any conditions in your family that are common?

Social anamnesis

Current medical history/systemic history (somatic and psychological complaints).

  • Are you in pain?
  • Where is the pain localized?
  • Was there a fall event? Did you stumble?
  • Can you move the affected leg?
  • Do you have feeling in the leg, toes?

Vegetative anamnesis including nutritional anamnesis.

  • Are you underweight? Please tell us your body weight (in kg) and height (in cm).
  • Do you smoke? If so, how many cigarettes, cigars or pipes per day?
  • Do you drink alcohol more often? If yes, what drink(s) and how many glasses of it per day?

Self anamnesis incl. medication anamnesis

  • Pre-existing conditions (cerebrovascular disease, neurological disease, osteoporosis, neoplasms, etc.).
  • Accidents (previous accidents?)
  • Operations (operations with relevance)
  • Radiotherapy
  • Allergies
  • Medication history

Medication history

  • Antidepressants – hip fracture risk in seniors was particularly elevated at baseline and continued for up to 4 years
  • Antihypertensives (antihypertensive medications) – Secondary analysis of ALLHAT trial data confirmed that in hypertensives, therapy with a thiazide diuretic was associated with a reduced risk of hip and pelvic fractures compared with ACE inhibitors or beta-blockers.
  • Hypnotics/sedatives (sedatives/sleep aids).
  • Diuretics (diuretic medications).