Rational imaging: A painful hip  

Oleh:

O'Connor, Philip

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: British Medical Journal (keterangan: ada di Proquest) vol. 335 no. 7619 (Sep. 2007), page 563.
Topik: Practice

Ketersediaan

Perpustakaan FK Nomor Panggil: B16.K.2007.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Introduction Learning points Whenever fractured neck of the femur is suspected on clinical grounds, the patient should be treated for fracture until proved otherwise Normal radiographs (with additional views as appropriate) do not exclude femoral neck fracture—occult fractures comprise about 1% of all fractured necks of femur Before proceeding to further imaging the adequacy of the initial radiographic views must be assessed Magnetic resonance imaging is the method of choice in this situation—it can diagnose occult hip fracture quickly, reliably, and cost effectively Where there is delay in diagnosis or contraindication to magnetic resonance imaging, repeat radiography or scintigraphy may be useful The patient A previously fit and well 86 year old man presented with acute pain in the left hip after a fall. He had no medical history of note. Hip movement was painful on examination, but no deformity or diagnostic features were present. No fractures were seen on anteroposterior and lateral radiographs of . . .

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