Login
Site Search
Trauma-List Subscription

Subscribe

Would you like to receive list emails batched into one daily digest?
No Yes

 

Modify Your Subscription

Modify

 

Home > List Archives

List Archives

For your convenience, find the Trauma List Archive Below

Hip fractures

Rowley Cottingham trauma-list@trauma.org
Fri, 4 Jan 2002 06:12 +0000 (GMT Standard Time) 

> --part1_197.9ab2e1.296466bf_boundary
> Content-Type: text/plain; charset="US-ASCII"
> Content-Transfer-Encoding: 7bit
> 
> 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

Thanks, Rick. My feelings entirely. Which is why I was rather mystified the other day when a request for a repeat (two 
days after a fall) on a patient who was not mobilising from continued pain in the hip was turned down by the 
radiographer (if you please) because she couldn't see an abnormality on the admission film!

Neither could I, which was why I wanted the repeat. 


Best wishes,


Rowley Cottingham

rowley@cix.co.uk
http://www.emergencyunit.com