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Hip fractures

david bleam trauma-list@trauma.org
Fri, 04 Jan 2002 11:56:24 +0800 

Added complication is that some elderly patients with such disabilities as Alzheimer's can't communicate symptoms.
FF Dave Bleam
-----Original Message-----
From: DocRickFry@aol.com
Date: Wed, 2 Jan 2002 08:35:59 EST
To: trauma-list@trauma.org
Subject: Re: Hip fractures


> 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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