Investigation of Occult Hip Fractures: The Use of CT and MRI
Aim. At present there is no data looking at modern multislice computerised tomography (CT) in the investigation of occult hip fracture. The aim of this study was to retrospectively compare the reports of patients sent for magnetic resonance imaging (MRI) or CT with negative radiographs and a clinica...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/830319 |
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| author | S. K. Gill J. Smith R. Fox T. J. S. Chesser |
| author_facet | S. K. Gill J. Smith R. Fox T. J. S. Chesser |
| author_sort | S. K. Gill |
| collection | DOAJ |
| description | Aim. At present there is no data looking at modern multislice computerised tomography (CT) in the investigation of occult hip fracture. The aim of this study was to retrospectively compare the reports of patients sent for magnetic resonance imaging (MRI) or CT with negative radiographs and a clinical suspicion of a fractured neck of femur. Methods. All patients presenting to the hospital with a clinical suspicion of a hip fracture but initial negative radiographs over a three-year period were included. Patients were either investigated with an MRI scan or CT scan. The presence of a fracture, the requirement for surgery, and any further requirement for imaging were recorded. Results. Over three years 92 patients were included of which 61 were referred for a CT and 31 for an MRI. Thirty-four patients were found to have a fracture. Of these, MRI picked up a fracture in 36% and CT in 38% of referrals. Discussion. Up to 10% of proximal femur fractures may be missed on initial radiographs. Current guidelines state patients should be offered MRI if hip fracture is suspected despite negative hip radiographs. Our findings show that modern multislice CT may be comparable with MRI for detecting occult fracture. |
| format | Article |
| id | doaj-art-a4b614904cce4b77b3b7e6baadee530d |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-a4b614904cce4b77b3b7e6baadee530d2025-02-03T01:31:27ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/830319830319Investigation of Occult Hip Fractures: The Use of CT and MRIS. K. Gill0J. Smith1R. Fox2T. J. S. Chesser3Trauma and Orthopaedic Department, Frenchay Hospital, North Bristol NHS Trust, Frenchay Park Road, Bristol BS16 1LE, UKTrauma and Orthopaedic Department, Frenchay Hospital, North Bristol NHS Trust, Frenchay Park Road, Bristol BS16 1LE, UKTrauma and Orthopaedic Department, Frenchay Hospital, North Bristol NHS Trust, Frenchay Park Road, Bristol BS16 1LE, UKTrauma and Orthopaedic Department, Frenchay Hospital, North Bristol NHS Trust, Frenchay Park Road, Bristol BS16 1LE, UKAim. At present there is no data looking at modern multislice computerised tomography (CT) in the investigation of occult hip fracture. The aim of this study was to retrospectively compare the reports of patients sent for magnetic resonance imaging (MRI) or CT with negative radiographs and a clinical suspicion of a fractured neck of femur. Methods. All patients presenting to the hospital with a clinical suspicion of a hip fracture but initial negative radiographs over a three-year period were included. Patients were either investigated with an MRI scan or CT scan. The presence of a fracture, the requirement for surgery, and any further requirement for imaging were recorded. Results. Over three years 92 patients were included of which 61 were referred for a CT and 31 for an MRI. Thirty-four patients were found to have a fracture. Of these, MRI picked up a fracture in 36% and CT in 38% of referrals. Discussion. Up to 10% of proximal femur fractures may be missed on initial radiographs. Current guidelines state patients should be offered MRI if hip fracture is suspected despite negative hip radiographs. Our findings show that modern multislice CT may be comparable with MRI for detecting occult fracture.http://dx.doi.org/10.1155/2013/830319 |
| spellingShingle | S. K. Gill J. Smith R. Fox T. J. S. Chesser Investigation of Occult Hip Fractures: The Use of CT and MRI The Scientific World Journal |
| title | Investigation of Occult Hip Fractures: The Use of CT and MRI |
| title_full | Investigation of Occult Hip Fractures: The Use of CT and MRI |
| title_fullStr | Investigation of Occult Hip Fractures: The Use of CT and MRI |
| title_full_unstemmed | Investigation of Occult Hip Fractures: The Use of CT and MRI |
| title_short | Investigation of Occult Hip Fractures: The Use of CT and MRI |
| title_sort | investigation of occult hip fractures the use of ct and mri |
| url | http://dx.doi.org/10.1155/2013/830319 |
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