Orthonotes
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v3.0 Fusion
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Delbet–Colonna Classification — Paediatric Femoral Neck Fractures

Type I: Transepiphyseal (with/without dislocation) — highest AVN risk. Type II: Transcervical (through the neck). Type III: Cervicotrochanteric (basicervical). Type IV: Intertrochanteric. AVN risk decreases from I → IV; urgent reduction and stable fixation reduce complications.

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Type I: Transepiphyseal (with/without dislocation) — highest AVN risk. Type II: Transcervical (through the neck). Type III: Cervicotrochanteric (basicervical). Type IV: Intertrochanteric. AVN risk decreases from I → IV; urgent reduction and stable fixation reduce complications.
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Question 1

What is the Delbet-Colonna classification primarily used for?

Question 2

Which type of Delbet-Colonna fracture has the highest risk of avascular necrosis (AVN)?

Question 3

Which age group is most commonly associated with paediatric femoral neck fractures?

Question 4

What is the main vascular supply to the femoral head in children?

Question 5

Which type of paediatric femoral neck fracture is considered the most common?

Question 6

In which scenario should a femoral neck fracture in a child under 5 years raise suspicion for non-accidental injury?

Question 7

What is the urgency of treatment for a transcervical femoral neck fracture?

Question 8

Which Delbet fracture type is characterized by a fracture through the mid-femoral neck?

Question 9

What complication is most commonly associated with paediatric femoral neck fractures?

Question 10

Which type of Delbet fracture is often associated with hip dislocation?