We treated 25 cases minimum or nondisplaced femoral neck and trochanteric fractures in the elderly from April 2000 to June 2005. All of the fractures were treated conservatively. Eighteen of the cases (72%) were occult fractures. MRI examination was found to be useful. Bone union was achieved in all cases, and 95. 5% recovery of walking ability without severe side effects during hospitalization (mean 13 weeks). We conclude that the first treatment indication of the minimum or nondisplaced femoral neck and trochanteric fracture in the elderly is conservative treatment.