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Although some of these injuries may be treated nonsurgically, more invasive treatment is sometimes necessary because they also involve the hip joint. Acetabular fracture: This is an injury to the hip socket.
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5 The average age at the time of the fracture is 80 years, and almost all patients are older than 65 years.
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When clinicians suspect a fracture that an x-ray doesn't show, MRI often can help them arrive at a conclusive diagnosis, the authors continued. Use of portable radiography may lead to poor image quality, complicating efforts to exclude traumatic fracture. Such data often exist and can inform clinical decisions regarding osteoporosis therapy. 1.1.1 Offer MRI if hip fracture is suspected despite negative Xrays of the hip of an adequate standard. In addition to dedicated hip radiographs, one or more radiographs of the entire pelvis are commonly obtained as part of both screening and follow-up studies (Figs. It is used for the assessment of unilateral hip pathology, most commonly to diagnose a hip fracture or dislocation. Patients that sustain 'osteoporosis-related' fractures may have normal BMD at the hips and spine, but rarely have normal bone when other clinically available studies are considered. Radiographs may be limited by osteopenia, large body size, and issues related to patient positioning. A hip x-ray, also known as a hip series or hip radiograph, is a pelvis x-ray with an additional lateral view of the specified hip. Although initially described in pregnancy, transient osteoporosis of the hip tends to affect middle-aged men (40-55-year-olds) with an M:F ratio of 3:1. "Use of MRI has substantial advantage in the detection of pelvic and femoral fractures, helping to steer patients to appropriate medical and surgical therapy."ĭiagnosis of traumatic fracture in the emergency-room setting often begins with radiographs of the hip and pelvis, but in a substantial proportion of cases, diagnosis is not conclusive, the authors noted. Kirby, MD, and Charles Spritzer, MD, wrote. "We found a large number of both false-positive and false-negative diagnoses based on radiographic findings alone," Matthew W.