Score: Garden classification

Use: Subcapital femoral fractures

Garden I

Incomplete (unicortical) subcapital fracture with angulated trabeculae and a valgus position of the femoral neck (due to impaction at the fracture site)

Garden II

Complete fracture line, involving both cortices of femoral neck. Interrupted trabecular pattern, but undisplaced fracture.

Garden III

Complete fracture of femoral neck with partial displacement of the fragments. The alignment of the trabeculae in the femoral head does not match with that of the acetabulum.

Garden IV

Complete displacement of the fracture with no cortical contact. The femoral head assumes its normal position and therefore, trabecular pattern between the femoral head and acetabulum appears normal.

Reference

Classification and Diagnosis in Orthopaedic Trauma. Editors: Rahij Anwar, Kenneth W. R. Tuson, Shah Alam Khan. Cambridge University Press, 2008