Hidden hip fractures
Keywords:
Fractures, Bone, Osteoporosis, Hip Fracture, AgedAbstract
The diagnosis of a hip fracture is based on an appropriate clinical history, physical examination and x-rays that demonstrate the injury. The diagnosis of occult fractures is difficult because in many cases the mechanism of trauma does not correspond to the clinical presentation and the injury is not seen in simple x-rays. The occult fractures of the hip may arise in any age group and body segment of the individual. These fractures are more frequent in people older than 65 years or with degenerative bone conditions, almost always associated with minimum trauma. The failure of diagnosis leads to increased morbidity and mortality. It is important to know the clinical presentation, the pathophysiology and the criteria elements for its diagnosis to avoid complications. With this knowledge in mind we will be able to consider the occult fractures as a differential diagnosis for the benefit of the patient.
Downloads
References
Ahn JM, El-Khoury GY. Occult fractures of extremities. Radiol Clin North Am 2007; 45: 561-79.
Berger PE, Ofstein RA, Jackson DW, Morrison DS, Silvino N, Amador R. MRI demonstration of radiographically occult fractures: what have we been missing? Radiographics 1989; 9(3): 407-36.
Mink JH, Deutsch AL. Occult cartilage and bone injuries of the knee: detection, classification, and assessment with MR imaging. Radiology 1989; 170(3 Pt 1): 823-9.
Vellet AD, Marks PH, Fowler PJ, MunroTG. Occult posttraumatic osteochondral lesions of the knee: prevalence, classification, and short-term sequelae evaluated with MR imaging. Radiology 1991; 178(1): 271-6.
Lynch TC, Crues JV 3rd, Morgan FW, Sheehan WE, Harter LP, Ryu R. Bone abnormalities of the knee: prevalence and significance at MR imaging. Radiology 1989; 171(3): 761-6.
Boks SS, Vroegindeweij D, Koes BW, Hunink MG, Bierma-Zeinstra SM. Follow-up of occult bone lesions detected at MR imaging: sys¬tematic review. Radiology 2006; 238(3): 853-62.
Breitenseher MJ, Metz VM, Gilula LA, Gaebler C, Kukla C, Fleis¬chmann D. Radiographically occult scaphoid fractures: value of MR imaging in detection. Radiology 1997; 203(1): 245-50.
Mason BJ, Kier R, Bindleglass DF. Occult fractures of the greater tuberosity of the humerus: radiographic and MR imaging findings. AJR Am J Roentgenol 1999; 172(2): 469-73.
Sahasrabudhe A, Wright V, Cohen P. The occult hip fracture. Tech Orthop 2004; 19(3): 187-96.
Rizzo PF, Gould ES, Lyden JP, Asnis SE. Diagnosis of occult fractures about the hip. Magnetic resonance imaging compared with bone-scanning. J Bone Joint Surg Am 1993; 75(3): 395-401.
Feldman D, Zuckerman JD, Frankel VH. Geriatric hip fractures: preoperative decision-making. J Musculoskelet Med 1990; 7: 69-78.
Hedlund R, Lindgren U. Trauma type, age, and gender as determinants of hip fracture. J Orthop Res 1987; 5: 242-6.
Holder LE, Schwartz C, Wernicke PG, Michael RH. Radionuclide bone imaging in the early detection of fractures of the proximal femur (hip): multifactorial analysis. Radiology 1990; 174: 509-15.
Cannon J, Silvestri S. Imaging choices in occult hip fracture. J Emerg Med 2009; 37(2): 144-52.
Courtney AC, Wachetel EF, Myers ER, Hayes WC. Age-related reduc¬tions in the strength of the femur tested in a fall-loading configuration. J Bone Joint Surg Am 1995; 77: 387-95.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Sociedad Colombiana de Ortopedia y Traumatología
This work is licensed under a Creative Commons Attribution 4.0 International License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
