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Orthopaedics · Hip fractures
Sample itemWhy do displaced intracapsular femoral neck fractures carry a risk of avascular necrosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. They can disrupt femoral head blood supply
Displacement can compromise retinacular vessels supplying the femoral head, increasing the risk of avascular necrosis and nonunion.
Option by option
A. They can disrupt femoral head blood supply (correct)
Correct: vascular disruption threatens femoral head viability.
B. They cause immediate cartilage regeneration
Trauma does not produce immediate cartilage regeneration.
C. They are outside the joint capsule
Intracapsular fractures are, by definition, within the capsule.
D. They always injure the sciatic nerve
Sciatic injury is not the defining complication.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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