Type:
Educational Exhibit
Keywords:
Trauma, Computer Applications-Detection, diagnosis, Conventional radiography, CT, Emergency
Authors:
J. Salceda Artola1, J. M. Mellado1, R. Bermejo Garcés2, N. Yanguas1, S. Solanas1, J. Martín Cuartero1, S. Solchaga2, R. M. Cozcolluela Cabrejas1; 1Tudela/ES, 2Pamplona/ES
DOI:
10.1594/ecr2012/C-2035
Learning objectives
Our purpose is to review the imaging manifestations of subtle and misleading fractures of the proximal femur,
including (1) osteochondral fractures of the femoral head; (2) subchondral fractures of the femoral head; (3) stress or occult fractures of the femoral neck; (4) minimally impacted subcapital fractures; (5) non-displaced intertrochanteric fractures; (6) non-displaced trochanteric avulsion fractures; and (7) pathologic fractures.
In our presentation we also cover the various technical and clinical factors that may complicate prompt radiologic recognition of such injuries.
In order to achieve this objective,
we begin with a brief review of the normal anatomy of the hip,
as seen on plain films.
Our final goal is to emphasize the key findings and practical tips that may be most helpful for accurate diagnosis of these fractures at the emergency room.