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Diagnosing Hip Fractures: From X-rays to Advanced Imaging
Published: Jun 24, 2024
Accurate diagnosis of hip fractures is crucial for proper treatment. While X-rays are the first line of imaging, sometimes more advanced tests are needed to catch hidden fractures.
X-rays: The First Look
X-rays are the initial go-to test for suspected hip fractures. Doctors typically take two views: an anterior-posterior (AP) view and a lateral view. These images can show most fractures clearly, revealing changes in bone alignment or breaks in the bone structure. However, some fractures can be subtle and hard to spot on X-rays alone.
When X-rays Aren't Enough
Sometimes, a hip fracture might not show up on an X-ray, especially if it's a small crack or in a tricky location. If a doctor strongly suspects a fracture based on symptoms but the X-ray looks normal, they might order more advanced imaging. This is particularly important for older adults, who can have serious complications if a fracture is missed.
Advanced Imaging Options
Magnetic Resonance Imaging (MRI) is the gold standard for detecting hidden hip fractures. It can show detailed images of the bone and surrounding soft tissues, making even tiny fractures visible. If MRI isn't available, a CT scan can be a good alternative. In some cases, a bone scan might be used, but it takes longer to show results.
Frequently Asked Questions
X-rays detect most hip fractures, but can miss up to 10%.
Most people can have MRIs, but some with metal implants can't.
X-ray results are quick, while MRI or CT might take a few hours.
Key Takeaways
While X-rays are the first step, advanced imaging like MRI can be crucial for accurate hip fracture diagnosis.
References
- Haj-Mirzaian A, et al. Use of Advanced Imaging for Radiographically Occult Hip Fracture in Elderly Patients: A Systematic Review and Meta-Analysis. Radiology 2020; 296:521.
- Kellock TT, et al. Diagnostic Performance of CT for Occult Proximal Femoral Fractures: A Systematic Review and Meta-Analysis. AJR Am J Roentgenol 2019; 213:1324.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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