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Neck of Femur Fractures- Cases
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)
- 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.
- 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.
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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