[Magnetic resonance imaging for suspected femoral neck fractures].
Painful hip as a result of injury, with or without a history of trauma, is a common reason for referring elderly patients to the emergency room. The diagnosis of femoral neck fracture requires the combination of a physical examination, X-rays, and in problematic cases, a bone scan. However, even this combination does not always provide a diagnosis. We present 50 patients with painful hip who complained of limp and reduced hip joint motion, but had no evidence of fracture, either on X-ray or bone scan. After conservative treatment, 5 patients with no history of trauma underwent hemiarthroplasty of the hip for displaced subcapital fracture. In addition, we present a case of subcapital fracture which was diagnosed only by MRI, in whom both X-rays and bone scan were considered normal.
Kligman
M
M
Dept. of Orthopedic Surgery, Carmel Medical Center, Haifa.
Roffman
M
M
D000368:Aged; D005265:Femoral Neck Fractures / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008279:Magnetic Resonance Imaging; D011859:Radiography; D011877:Radionuclide Imaging; D016896:Treatment Outcome