A group of 9 patients with a suspected fracture of the hip underwent radiography and subsequently magnetic resonance imaging (MRI) diagnosis. Radiographic findings were in 2 cases negative and in 7 cases the radiographs revealed a fissure or fracture of the greater trochanter. MRI proved a complete pertrochanteric fracture in 1 case, an incomplete pertrochanteric fracture in 8 cases and in all the 9 cases a fracture of the greater trochanter. Occult pertrochanteric fractures were readily demonstrated with frontal scans. Sagittal and transversal scans showed only more precisely the course of the fracture line and involvement of the intertrochanteric crest, if any. Among the 9 patients, 6 were managed conservatively and 3 patients were treated with a 2-hole DHS (dynamic hip screw). Indication for surgery was based primarily on the scope of the patients' subjective complaints and on their general condition. All the 9 patients healed without complications. The authors indicate MR imaging diagnosis in clinically suspected fractures of the proximal femur where the radiographic finding is negative. Fractures with a radiographic finding of a fissure or fracture of the greater trochanter should be examined by MRI that in most cases reveals an occult pertrochanteric fracture.
Download full-text PDF |
Source |
---|
Rozhl Chir
September 2024
Background And Study Aims: Magnetic resonance imaging (MRI) has been used for more than 20 years in the region of the proximal femur to diagnose occult, or incomplete, fractures of the femoral neck and the trochanteric segment. MRI has also potential to contribute to the understanding of the pathogenesis and pathoanatomy of trochanteric fractures.
Methods: The group including 13 patients was examined by MRI for a suspected, or incomplete, fracture of the trochanteric segment within 24 hours post-injury.
SICOT J
August 2024
Department of Orthopedics and Trauma Surgery, Evangelisches Krankenhaus Mühlheim/Ruhr, Wertgasse 30, 45468 Müheim an der Ruhr, Germany.
Purpose: The current study aimed to investigate the correlation between the grade of radiographic hip osteoarthritis (OA) and the fracture pattern observed in fragility fractures of the proximal femur. The information may help in cases of occult hip fractures.
Methods: In this retrospective study all 448 patients treated with fragility fractures of the proximal femur in the years 2014-2018 were included.
Hip Pelvis
March 2019
Department of Orthopedic Surgery, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.
Purpose: Isolated greater trochanteric (GT) fractures are often identified using plain radiography of patients with post-traumatic hip pain. In many cases, the fracture extends to form an occult intertrochanteric fracture. We conducted a study to determine the frequency of occult intertrochanteric fractures in patients diagnosed with isolated GT fractures using plain radiographs.
View Article and Find Full Text PDFWorld J Emerg Surg
November 2015
Victor Babes University of Medicine and Pharmacy, 2 Eftimie Murgu Square, 300041 Timişoara, Romania ; Department of Radiology, Pius Brinzeu Emergency Clinical County Hospital, 10 I. Bulbuca Blvd, 300737 Timisoara, Romania.
Background: Occult hip fractures are often difficult to identify in busy trauma units. We aimed to present our institutions experience in the diagnosis and treatment of occult fractures around the hip and to help define a clinical and radiological management algorithm.
Method: We conducted a seven-year retrospective hospital medical record analysis.
Rozhl Chir
July 2007
Ortopedicko-traumatologická klinika 3. LF UK a FNKV, Praha-Vinohrady.
A group of 9 patients with a suspected fracture of the hip underwent radiography and subsequently magnetic resonance imaging (MRI) diagnosis. Radiographic findings were in 2 cases negative and in 7 cases the radiographs revealed a fissure or fracture of the greater trochanter. MRI proved a complete pertrochanteric fracture in 1 case, an incomplete pertrochanteric fracture in 8 cases and in all the 9 cases a fracture of the greater trochanter.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!