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Hip fractures

trauma-list@trauma.org trauma-list@trauma.org
Wed, 2 Jan 2002 08:35:59 EST 

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In a message dated 1/2/2002 8:26:10 AM Eastern Standard Time, 
rowley@rowleys-host.compulink.co.uk writes:


> I wonder if anyone knows the incidence of missed hip fracture on X-ray? For 
> example, elderly patient attends and cannot 
> walk following a fall on hip. X-ray, seen by competent specialist, shows no 
> fracture. Patient fails to mobilise, and a 
> second X-ray two days later, shows a fracture. 
> 
> 

Can easily happen--I have seen this on a number of occasions, usually with 
subtle nondispaced fractures.  You must pay attention to your patient, and 
continue x-rays, going to CT of the hip if necessary if clinical picture 
suggests something more
ERF

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<HTML><FONT FACE=arial,helvetica><FONT  COLOR="#0000ff" SIZE=2 FAMILY="SCRIPT" FACE="Comic Sans MS" LANG="0"><B>In a message dated 1/2/2002 8:26:10 AM Eastern Standard Time, rowley@rowleys-host.compulink.co.uk writes:<BR>
<BR>
</FONT><FONT  COLOR="#000000" style="BACKGROUND-COLOR: #ffffff" SIZE=2 FAMILY="SANSSERIF" FACE="Arial" LANG="0"></B><BR>
<BLOCKQUOTE TYPE=CITE style="BORDER-LEFT: #0000ff 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px">I wonder if anyone knows the incidence of missed hip fracture on X-ray? For example, elderly patient attends and cannot <BR>
walk following a fall on hip. X-ray, seen by competent specialist, shows no fracture. Patient fails to mobilise, and a <BR>
second X-ray two days later, shows a fracture. <BR>
<BR>
</BLOCKQUOTE><BR>
</FONT><FONT  COLOR="#0000ff" style="BACKGROUND-COLOR: #ffffff" SIZE=2 FAMILY="SCRIPT" FACE="Comic Sans MS" LANG="0"><B><BR>
Can easily happen--I have seen this on a number of occasions, usually with subtle nondispaced fractures.&nbsp; You must pay attention to your patient, and continue x-rays, going to CT of the hip if necessary if clinical picture suggests something more<BR>
ERF</B></FONT></HTML>

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