Junior call case 15

Displaced impacted subcapitular fracture left femoral neck

X-ray sensitivity for the detection of hip fractures is both “operator-dependent” as well as technically limited (due to associated osteopenia, projection, etc.).

If there is a high clinical suspicion of fracture and the x-ray is “negative”, cross-sectional imaging should be obtained.

It is important to describe the location of the fracture, in particular femoral neck vs. intertrochanteric, as management is different:

o Femoral neck fracture

o Intertrochanteric fracture

Accession: CL0742

Study description: DX PELVIS 1V