Isolated femoral neck or shaft fractures are epidemiologically different in certain aspects. Ipsilateral neck and femoral shaft fracturas are due to unique and high energy trauma having vertical o basicervical fractures for the proximal femor, which makes diagnosis harder to catch and possibly delayed which can result in complications such as avascular necrosis of the femoral head. The first case with ipsilateral fractures of femoral neck and shaft was described in 1953 (1), and continued to be described in further publications with various diagnostic and treatment options which are not standarized. This specific diagnosis represents a particular challenge for the orthopeadic surgeon accounting for the associated injurioes o complications, and the frequency of subdiagnosis. Incidence of the association of both fractures, is described in literatura between 5-16%, which is directly related to the different diagnostic methods used, includin simple radiology, with a sensitivity between 50-60%, CT scan with agreater sensitivity, and MRI as a gold standard to evaluate occult fractures (2-9). There are also several methods for definitive fixation that have not shown inferiority among them at the moment of evaluating outcomes. There is no global standard for the management of these fractures. Having such a wide range of incidence values, the poor consensus regarding diagnostic and fixation method, a scoping review of literatura has been done which includes cases series, cases and controls, clincal trials, and meta analysis of patients with ipsilateral fractures of femoral neck and shaft after high energy trauma to determine incidence, diagnostic and fixation methods used.
