Fast Five Quiz: Are You Prepared to Confront Holiday Decorating Injuries?

Richard H. Sinert, DO


December 05, 2017

Because of the increased prevalence of bilateral involvement, consider performing imaging studies on the contralateral hip when a stress fracture is suggested.

A bone scan displays a radiographically occult fracture 80% of the time 24 hours after an injury, and it also shows almost all fractures after 72 hours. Negative bone scan findings virtually exclude the diagnosis of a stress fracture.

In addition to the recommended laboratory studies in a patient suspected of having a hip fracture, the physician should also obtain a chest x-ray film and an electrocardiogram tracing to further assess the patient's medical condition before any surgical intervention.

Anteroposterior views of the pelvis and hip and cross-table lateral x-ray films are usually sufficient to evaluate potential fractures. Rotating the affected leg internally or externally can increase the sensitivity of radiography.

For more on the workup of hip fractures, read here.


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