Garden classification

Trauma and orthopaedics

Also known as: Garden-Klassifikation (Schenkelhalsfraktur) · Garden sınıflaması (femur boyun kırığı) · Garden classification (femoral neck fractures)

What it is for

Grades intracapsular (subcapital) femoral neck fractures by completeness and displacement on the anteroposterior radiograph.

Category	Description
Garden I	incomplete fracture, including the valgus-impacted fracture.
Garden II	complete fracture without displacement.
Garden III	complete fracture with partial displacement; the head is tilted into varus, so its medial trabeculae no longer line up with those of the acetabulum.
Garden IV	complete fracture with full displacement; the head fragment falls back into a neutral position in the acetabulum and its trabeculae realign with the pelvic trabeculae.
Common simplification	Garden I–II = undisplaced; Garden III–IV = displaced.

Low-angle fixation in fractures of the femoral neck

J Bone Joint Surg Br 1961;43-B:647–663 (Garden RS)

Edition: Garden 1961 (still in use unchanged; often simplified to undisplaced I–II vs displaced III–IV)
Checked on: 4 November 2026
Checked against: pmc.ncbi.nlm.nih.gov/articles/PMC6259691
radiopaedia.org/articles/garden-classification-of-hip-fractures
pmc.ncbi.nlm.nih.gov/articles/PMC8787877

Summary of the published classification in our own words. Not a substitute for the original publication.

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