The validity of investigating occult hip fractures using multidetector CT

The British Journal of Radiology
Rhys W ThomasKathleen Lyons

Abstract

10% of all hip fractures are occult on plain radiography, requiring further investigation to ascertain the diagnosis. MRI is presently the gold standard investigation, but frequently has disadvantages of time delay, resulting in increased hospital stay and mortality. Our aim was to establish whether multidetector CT (MDCT) is an appropriate first-line investigation of occult femoral neck (NOF) fractures. From 2013, we elected to use MDCT as the first-line investigation in patients believed to have an NOF fracture with negative plain films. These were reported by consultant musculoskeletal radiologists. We retrospectively analysed the data of consecutive patients presenting to the University Hospital of Wales, over 30 months with a clinical suspicion of a hip fracture. 1443 patients were admitted during the study period. 209 (14.5%) patients had negative plain films requiring further investigation to exclude an NOF fracture, of which 199 patients had a CT. 93 patients had no fracture and 20 patients had isolated greater trochanter fractures. None of these patients progressed to develop an intracapsular femoral neck fracture at 4-month follow-up, although one patient sustained an extracapsular fracture following a high-energy fal...Continue Reading

References

Jul 11, 1998·Injury·R PandeyC Bulstrode
Jan 23, 2004·AJR. American Journal of Roentgenology·Mayumi Oka, Johnny U V Monu
May 25, 2005·Injury·O LubovskyR Mosheiff
Sep 1, 2005·The Journal of Bone and Joint Surgery. British Volume·A AlamS Ostlere
Oct 1, 2005·Acta Orthopaedica·Frede FrihagenJan Erik Madsen
Sep 23, 2008·AJR. American Journal of Roentgenology·Miguel C CabarrusThomas M Link
Aug 5, 2009·The Journal of Bone and Joint Surgery. British Volume·R A SankeyC E R Gibbons
Mar 31, 2012·The Journal of Emergency Medicine·David K HakkarinenGregory W Hendey
Mar 12, 2013·TheScientificWorldJournal·S K GillT J S Chesser

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Citations

Aug 29, 2019·AJR. American Journal of Roentgenology·Trenton T KellockJacob C Mandell
May 5, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Babina GosangiBharti Khurana
Feb 6, 2019·Geriatric Orthopaedic Surgery & Rehabilitation·John WilliamsRenu Gupta
May 15, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Laura Mattijssen-HorstinkEdward Camillus Thwan Han Tan
Nov 13, 2020·Trauma Surgery & Acute Care Open·Vera PedersenChristian Hans Nickel

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