Midshaft Femur Fractures: What's Behind the Break?
Published: Dec 20, 2023
Midshaft femur fractures can be devastating, but what exactly causes these serious injuries? Let's explore the causes and risks behind these challenging fractures.
Contents
Understanding the Causes
Midshaft femur fractures often result from high-energy traumas like car accidents or falls from great heights. For older adults, a simple stumble can lead to these fractures if they have underlying conditions like osteoporosis. Surprisingly, even low-energy activities like sports can sometimes result in these injuries, especially in individuals with weakened bones.
Risk Factors to Consider
Young males are particularly at risk of midshaft femur fractures due to high-energy activities. Older adults, especially women, are more prone due to bone weakening diseases like osteoporosis. Long-term use of certain medications, such as bisphosphonates, may also increase the likelihood of these fractures.

The Hidden Dangers
Midshaft femur fractures can lead to life-threatening complications like hemorrhage and fat embolism. These occur when fat globules enter the bloodstream, potentially causing respiratory distress. This highlights the importance of immediate medical attention following such injuries.
Frequently Asked Questions
High-energy traumas like car accidents or falls are common causes.
Young males and older adults, especially those with osteoporosis, are at higher risk.
Yes, long-term use of bisphosphonates can increase fracture risk.
Complications can include hemorrhage and fat embolism.
The Bottom Line
Understanding the causes and risks of midshaft femur fractures is crucial for prevention and effective treatment.
References
- Moore KL, Agur AM. Clinically Oriented Anatomy, 6th ed, Williams & Wilkins, Baltimore 2009.
- Weiss RJ, Montgomery SM, Al Dabbagh Z, Jansson KA. National data of 6409 Swedish inpatients with femoral shaft fractures. Injury 2009; 40:304.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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