Neck of femur fracture diagnostic study of choice: Difference between revisions
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===== Diagnostic results ===== | ===== Diagnostic results ===== | ||
The following findings on performing [[computed tomography]] (CT) are confirmatory for | The following findings on performing [[computed tomography]] (CT) are confirmatory for neck of femur fracture:<ref name="pmid27570869">{{cite journal| author=Tang ZH, Yeoh CS, Tan GM| title=Radiographic study of the proximal femur morphology of elderly patients with femoral neck fractures: is there a difference among ethnic groups? | journal=Singapore Med J | year= 2017 | volume= 58 | issue= 12 | pages= 717-720 | pmid=27570869 | doi=10.11622/smedj.2016148 | pmc=5917059 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27570869 }} </ref><ref name="pmid25146093">{{cite journal| author=Tiwari S, De Rover WS, Dawson S, Moran C, Sahota O| title=Rapid access imaging for occult fractured neck of femur. | journal=Osteoporos Int | year= 2015 | volume= 26 | issue= 1 | pages= 407-10 | pmid=25146093 | doi=10.1007/s00198-014-2861-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25146093 }} </ref><ref>{{cite book | last = Rockwood | first = Charles | title = Rockwood and Green's fractures in adults | publisher = Wolters Kluwer Health/Lippincott Williams & Wilkins | location = Philadelphia, PA | year = 2010 | isbn = 9781605476773 }}</ref><ref>{{cite book | last = Azar | first = Frederick | title = Campbell's operative orthopaedics | publisher = Elsevier | location = Philadelphia, PA | year = 2017 | isbn = 9780323374620 }}</ref> | ||
*[[CT-scans|CT]] confirms [[X-rays|x ray]] findings. | *[[CT-scans|CT]] confirms [[X-rays|x ray]] findings. | ||
*[[CT]] also helps in [[fracture]] fragment orientation. | *[[CT]] also helps in [[fracture]] fragment orientation. | ||
===== Sequence of Diagnostic Studies ===== | ===== Sequence of Diagnostic Studies ===== | ||
The various investigations must be performed in the following order:<ref>{{cite book | last = Azar | first = Frederick | title = Campbell's operative orthopaedics | publisher = Elsevier | location = Philadelphia, PA | year = 2017 | isbn = 9780323374620 }}</ref | The various investigations must be performed in the following order:<ref>{{cite book | last = Azar | first = Frederick | title = Campbell's operative orthopaedics | publisher = Elsevier | location = Philadelphia, PA | year = 2017 | isbn = 9780323374620 }}</ref> | ||
*[[X-rays]] of the [[Knee]] | *[[X-rays]] of the [[Knee]] | ||
*[[Computed tomography|CT scan]] of the [[Knee]] | *[[Computed tomography|CT scan]] of the [[Knee]] | ||
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=== Name of Diagnostic Criteria === | === Name of Diagnostic Criteria === | ||
There are no established criteria for the [[diagnosis]] of | There are no established criteria for the [[diagnosis]] of femoral neck fracture. | ||
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Revision as of 15:30, 7 February 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]
Overview
Computed tomography (CT) is the gold standard test for the diagnosis of neck of femur fracture. Computed tomography (CT) with two-dimensional reconstruction in the sagittal and coronal planes provides more detailed information than radiographs. CT helps in fracture fragment orientation and surgical planning.
Diagnostic Study of Choice
Study of choice
Computed tomography (CT) is the gold standard test for the diagnosis of neck of femur fracture.[1]
Diagnostic results
The following findings on performing computed tomography (CT) are confirmatory for neck of femur fracture:[1][2][3][4]
Sequence of Diagnostic Studies
The various investigations must be performed in the following order:[5]
Name of Diagnostic Criteria
There are no established criteria for the diagnosis of femoral neck fracture.
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References
- ↑ 1.0 1.1 Tang ZH, Yeoh CS, Tan GM (2017). "Radiographic study of the proximal femur morphology of elderly patients with femoral neck fractures: is there a difference among ethnic groups?". Singapore Med J. 58 (12): 717–720. doi:10.11622/smedj.2016148. PMC 5917059. PMID 27570869.
- ↑ Tiwari S, De Rover WS, Dawson S, Moran C, Sahota O (2015). "Rapid access imaging for occult fractured neck of femur". Osteoporos Int. 26 (1): 407–10. doi:10.1007/s00198-014-2861-8. PMID 25146093.
- ↑ Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
- ↑ Azar, Frederick (2017). Campbell's operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.
- ↑ Azar, Frederick (2017). Campbell's operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.