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Hip fractures

trauma-list@trauma.org trauma-list@trauma.org
Wed, 2 Jan 2002 08:48:33 EST 

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In a message dated 02-Jan-02 07:26:10 Central 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. 
> 
> Best wishes,
> 
> 
> Rowley Cottingham
> 

Happy New Year to all...

Rowley, I've seen this on a rare basis...most often with a minimal impacted 
fracture of the surgical neck...usually associated with osteopenia and 
minimal mechanism of injury. Have even had the radiologist miss it even when 
given a good clinical history.

Like a hairline fracture in an otherwise healthy young adult, not much to do 
except re ray when clinically indicated.


ck

Charles S. Krin, DO

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<HTML><FONT FACE=arial,helvetica><FONT  SIZE=2>In a message dated 02-Jan-02 07:26:10 Central Standard Time, rowley@rowleys-host.compulink.co.uk writes:<BR>
<BR>
<BR>
<BLOCKQUOTE TYPE=CITE style="BORDER-LEFT: #0000ff 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px"><BR>
<BR>
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>
Best wishes,<BR>
<BR>
<BR>
Rowley Cottingham<BR>
</BLOCKQUOTE><BR>
<BR>
Happy New Year to all...<BR>
<BR>
Rowley, I've seen this on a rare basis...most often with a minimal impacted fracture of the surgical neck...usually associated with osteopenia and minimal mechanism of injury. Have even had the radiologist miss it even when given a good clinical history.<BR>
<BR>
Like a hairline fracture in an otherwise healthy young adult, not much to do except re ray when clinically indicated.<BR>
<BR>
<BR>
ck<BR>
<BR>
Charles S. Krin, DO</FONT></HTML>

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