Lund EA, Samtani R, Winston M, et al. - A retrospective cohort study was conducted to ascertain if Hounsfield units (HUs) assessed on perioperative computed tomographic scans are correlated with radiographic outcomes and reoperations after femoral neck fracture fixation. Researchers included a total of 114 individuals age ≥ 18 years, who presented to a Level I trauma center, and who had undergone surgical fixation of intracapsular femoral neck fracture and had perioperative computed tomographic scans and adequate follow-up. The study found significant outcome variations regarding screw penetration and femoral neck shortening related to the HU or densities of femoral head and neck at the time of fracture. These data can assist the clinician with developing a treatment plan for either arthroplasty or fixation of a femoral neck fracture based on objective bone quality measurements rather than relying on an arbitrary age recommendation.