MR imaging of occult traumatic fractures and muscular injuries of the hip and pelvis in elderly patients.
Recent studies have shown the usefulness of T1-weighted MR imaging for identifying fractures of the proximal femur in elderly patients with negative radiographs after acute trauma [1-4]. The advent of fast spin-echo and fast inversion recovery sequences allows for the rapid identification of a variety of other musculoskeletal injuries of the hip and pelvis that may explain a patient's symptoms but that may not be seen on T1-weighted images. This pictorial essay shows the types of lesions encountered. Lesion prevalence is given for 20 consecutive patients examined.
May
D A
DA
Wilford Hall, United States Air Force Medical Center, San Antonio, TX 78236, USA.
Purins
J L
JL
Smith
D K
DK
D000077:Acetabulum / Q000293:injuries / Q000473:pathology; D000368:Aged; D005260:Female; D050723:Fractures, Bone / Q000175:diagnosis*; D006620:Hip Fractures / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000293:injuries* / Q000473:pathology; D010384:Pelvic Bones / Q000293:injuries* / Q000473:pathology; D011630:Pubic Bone / Q000293:injuries / Q000473:pathology; D012447:Sacrum / Q000293:injuries / Q000473:pathology; D017695:Soft Tissue Injuries / Q000175:diagnosis