These fractures are rare and carry a risk of avascular necrosis.
Operative fixation is the preferred treatment. However, the functional demands of the patients, the presence of comorbidities and the ability to undergo nonoperative treatment should also be taken into considerations. Nonoperative treatment tends to have unsatisfactory results.
Primary or delayed hemiarthroplasty can be considered for elderly osteoporotic patients, for whom fixation would not be stable, for grossly displaced fractures, or after the development of avascular necrosis (AVN).