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© Springer Nature Switzerland AG 2020
C. G. Kaide, C. E. San Miguel (eds.)Case Studies in Emergency Medicinehttps://doi.org/10.1007/978-3-030-22445-5_5151. Radiology Case 10
(1)
Department of Emergency Medicine, Wexner Medical Center at The Ohio State University, Columbus, OH, USA
Keywords
Hip dislocationHigh-energy axial loadFracture mechanismBall and socketAcetabulumIndication for the Exam
73 y/o m presents with right hip pain after a fall. On exam there is significant pain with even passive range of motion (rom).
Radiologic Findings
Anteroposterior (AP) view of the right hip – No apparent fracture.
Radiologic Findings
“Frog-leg” lateral view of the right hip – No apparent fracture.
Radiologic Findings
T1-weighted coronal magnetic resonance imaging (MRI) sequence – dark linear signal through the intertrochanteric region of the right femur
Short T1 inversion recovery “STIR” coronal MRI sequence – bright linear signal (edema) through the intertrochanteric region of the right femur.
Diagnosis
Nondisplaced intertrochanteric femur fracture
Learning Points
Priming Questions
What are the different types of hip fractures?
What are possible complications?
What population is at the greatest risk?
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