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Case Report
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| Occult hip fracture diagnosed by MRI scan after inconclusive X-ray and CT scan | ||||||
| Bogdan Deleanu1, Radu Prejbeanu2, Florin Birsasteanu3, Dinu Vermesan1, Liviu-Ionut Micle4, Eleftherios Tsiridis5, Vlad Predescu6 | ||||||
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1Assistant Professor, I-st Clinic of Orthopedics and Trauma, University of Medicine and Pharmacy 'Victor Babes', Timisoara, Romania.
2Professor, I-st Clinic of Orthopedics and Trauma, University of Medicine and Pharmacy 'Victor Babes', Timisoara, Romania. 3Associate Professor, Department of Radiology, University of Medicine and Pharmacy 'Victor Babes', Timisoara, Romania. 4Resident Doctor, I-st Clinic of Orthopedics and Trauma, University of Medicine and Pharmacy 'Victor Babes', Timisoara, Romania. 5Associate Professor, Imperial College London Medical School; Aristotle University Medical School, Thessaloniki, Greece. 6Associate Professor, St. Pantelimon' Emergency Hospital, 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania. | ||||||
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| How to cite this article |
| Deleanu B, Prejbeanu R, Birsasteanu F, Vermesan D, Micle CI, Tsiridis E, Predescu V. Occult hip fracture diagnosed by MRI scan after inconclusive X-ray and CT scan. Int J Case Rep Images 2015;6(7):444–447. |
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Abstract
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Introduction:
Hip fractures are common, most of them being easily diagnosed with the clinical examination and X-ray. Few cases need a computed tomography (CT) scan and even fewer an magnetic resonance imaging (MRI) scan. Here we report a case that was diagnosed with occult femoral neck fracture only after undergoing a pelvic MRI scan.
Case Report: The patient has presented a normal X-ray at the first exam with minimal clinical signs. The emergency CT scan shown no injury and the patient was left home. Three days after, the patient returned to hospital with increased pain and limited mobility to the left hip. Following the emergency MRI scan a femoral neck fracture has been revealed. The patient was soon operated and we used a total hip cemented prosthesis on the affected hip considering the age and the condition of the patient. Conclusion: Occult hip fractures should be suspicioned in all elderly patients who have a history of hip trauma even if X-ray and CT scan do not reveal a fracture. If it's available, the use of MRI scan is the best option for diagnose of occult hip fractures. | |
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Keywords:
CT-scan, MRI-scan, Occult hip fractures
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Author Contributions
Bogdan Deleanu – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Radu Prejbeanu – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Florin Birsasteanu – Analysis and interpretation of data, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Dinu Vermesan – Analysis and interpretation of data, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Liviu-Ionut Micle – Analysis and interpretation of data, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Eleftherios Tsiridis – Analysis and interpretation of data, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published Vlad Predescu – Analysis and interpretation of data, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Bogdan Deleanu et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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