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Investigation of Occult Hip Fractures: The Use of CT and MRI
Joint Authors
Chesser, T. J. S.
Gill, S. K.
Smith, J.
Fox, R.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Aim.
At present there is no data looking at modern multislice computerised tomography (CT) in the investigation of occult hip fracture.
The aim of this study was to retrospectively compare the reports of patients sent for magnetic resonance imaging (MRI) or CT with negative radiographs and a clinical suspicion of a fractured neck of femur.
Methods.
All patients presenting to the hospital with a clinical suspicion of a hip fracture but initial negative radiographs over a three-year period were included.
Patients were either investigated with an MRI scan or CT scan.
The presence of a fracture, the requirement for surgery, and any further requirement for imaging were recorded.
Results.
Over three years 92 patients were included of which 61 were referred for a CT and 31 for an MRI.
Thirty-four patients were found to have a fracture.
Of these, MRI picked up a fracture in 36% and CT in 38% of referrals.
Discussion.
Up to 10% of proximal femur fractures may be missed on initial radiographs.
Current guidelines state patients should be offered MRI if hip fracture is suspected despite negative hip radiographs.
Our findings show that modern multislice CT may be comparable with MRI for detecting occult fracture.
American Psychological Association (APA)
Gill, S. K.& Smith, J.& Fox, R.& Chesser, T. J. S.. 2013. Investigation of Occult Hip Fractures: The Use of CT and MRI. The Scientific World Journal،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-1033351
Modern Language Association (MLA)
Gill, S. K.…[et al.]. Investigation of Occult Hip Fractures: The Use of CT and MRI. The Scientific World Journal No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-1033351
American Medical Association (AMA)
Gill, S. K.& Smith, J.& Fox, R.& Chesser, T. J. S.. Investigation of Occult Hip Fractures: The Use of CT and MRI. The Scientific World Journal. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-1033351
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1033351