Which statement best describes the typical patient presentation for a hip fracture?

• A. Chronic dull pain after a minor fall
• B. Pain localized to the knee
• C. Pain that improves with movement
• D. Acute pain after trauma with inability to bear weight and tenderness/deformity

Answer: (D)

Hip fractures usually present as an abrupt, severe hip or groin pain after a fall or other trauma, with the patient unable to bear weight on the leg. On exam you often find tenderness around the hip, and the leg may appear shortened and externally rotated due to the fracture. This pattern is most common in older adults with osteoporosis and reflects an acute bony injury rather than a chronic or knee-centered problem. Movement or weight bearing tends to worsen the pain, reinforcing the fracture diagnosis. Imaging and urgent orthopedic evaluation are needed, with initial steps focused on immobilization, pain control, and prompt assessment.