Revision as of 17:16, 11 November 2020 by Travis(talk | contribs)(Created page with "<div class="WPC-editableContent"><font size="5"><b><br/></b></font><br/><font size="5"><b>Case 1</b></font><br/><blockquote><table align="bottom" cellpadding="3" class="WPC-ed...")
This 37 year old male presented to the Emergency Department after falling off a chair onto his left hip. He was referred for left hip radiography.
There is a subtle left neck of femur cortical disruption (arrowed)
Notes
absence of gonad protection noted
On enlargement, there is a suggestion of associated trabecular discontinuity.
This lateral hip projection was performed with a modified rolled lateral hip (Friedman Method). There is a neck of femur cortical step (arrowed) associated with a neck of femur fracture.
Notes
the femur is not rolled completely into a lateral.
this modified rolled lateral hip method cannot normally be performed in patients who actually have symptomatic neck of femur fractures.
Case 2
This 83 year old male presented to the Emergency Department after falling onto his left hip. He was referred for left hip radiography.
The left hip is externally rotated . Shenton's line appears abnormal on the left.There is a subtle left neck of femur cortical disruption.
Paget's disease is noted involving the left inferior pubic ramus.
Sacral spinabifida occulta also noted.
On enlargement, there is a suggestion of associated trabecular discontinuity (white arrows).
The lateral horizontal ray hip image does not clearly demonstrate the fracture.