In the Garden classification of femoral neck fractures, a Type II fracture is defined as:
- A Incomplete (impacted) fracture
- B Complete fracture, undisplaced ✓
- C Complete fracture, partially displaced
- D Complete fracture, fully displaced
Correct answer: B. Complete fracture, undisplaced
Explanation
Garden classification: Type I — incomplete/impacted in valgus (trabecular pattern disrupted but neck intact superiorly); Type II — complete fracture, undisplaced (trabeculae still aligned); Type III — complete, partially displaced; Type IV — complete, fully displaced (femoral head rotates to neutral position, trabeculae align with acetabular trabeculae). Garden I and II (undisplaced) can be treated with in-situ fixation using cannulated screws. Garden III and IV (displaced) require hemiarthroplasty in elderly and ORIF in young patients.
Reference: Maheshwari Essential Orthopaedics, 6th ed.
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