Garden’s classification

Garden’s classification of femoral neck fractures

ORTHOPAEDICS

A system for classifying femoral neck fractures, based on the hip’s appearance on an anteroposterior film, which is used to guide treatment

Garden’s classification–femoral neck fractures

I    Incomplete fracture of neck–aka abducted or impacted fracture

II   Complete fracture without displacement

III  Complete fracture with partial displacement–fragments are still connected by posterior retinacular attachment; there is malalignment of the femoral trabecula

IV  Complete femoral neck fracture with full displacement: the proximal fragment is free and lies correctly in the acetabulum–trabeculae appear normally aligned