Neck of Femur Fractures- Cases

Case 1

	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.

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