Quick diagnosis of non-displaced fracture of the femoral neck: A case report

J. L. Jean, C. H. Lee, S. J. Wang, J. H. Chang, H. L. Tang, C. G. Shy, S. S. Wu, L. C. Lin

研究成果: 雜誌貢獻文章

摘要

Non-displaced fractures of the femoral neck in the elderly are serious injuries. They may not be evident on initial radiographs due to overlying soft tissue, osteopenia, or radiographic techniques. Delay in diagnosis can increase associated medical, economic, and legal implications in the changing health care environment, since displacement can lead to avascular necrosis of the femoral head, nonunion, or varus deformity. Early and accurate detection can enable physicians to perform relatively simple surgical fixations in situ. Refinements in diagnosis can improve outcomes and minimize the duration of hospital stays. Traditionally, bone scans and magnetic resonance imaging (MRI) have been used for early detection of non-displaced femoral neck fractures. The disadvantages of these examination techniques include exposure to radiation and high costs, respectively. Initial radiographs of elderly patients were equivocal, but clear fracture lines were demonstrated after retaking the films while keeping the ipsilateral foot internally rotated at 30 degrees. This simple radiographic technique can enhance radiographic diagnosis of this elusive entity.

原文英語
頁(從 - 到)263-266
頁數4
期刊Chinese Journal of Radiology
25
發行號6
出版狀態已發佈 - 2000
對外發佈Yes

指紋

Femoral Neck Fractures
Femur Head Necrosis
Medical Economics
Metabolic Bone Diseases
Foot
Length of Stay
Magnetic Resonance Imaging
Delivery of Health Care
Physicians
Costs and Cost Analysis
Bone and Bones
Wounds and Injuries

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

引用此文

Jean, J. L., Lee, C. H., Wang, S. J., Chang, J. H., Tang, H. L., Shy, C. G., ... Lin, L. C. (2000). Quick diagnosis of non-displaced fracture of the femoral neck: A case report. Chinese Journal of Radiology, 25(6), 263-266.

Quick diagnosis of non-displaced fracture of the femoral neck : A case report. / Jean, J. L.; Lee, C. H.; Wang, S. J.; Chang, J. H.; Tang, H. L.; Shy, C. G.; Wu, S. S.; Lin, L. C.

於: Chinese Journal of Radiology, 卷 25, 編號 6, 2000, p. 263-266.

研究成果: 雜誌貢獻文章

Jean, JL, Lee, CH, Wang, SJ, Chang, JH, Tang, HL, Shy, CG, Wu, SS & Lin, LC 2000, 'Quick diagnosis of non-displaced fracture of the femoral neck: A case report', Chinese Journal of Radiology, 卷 25, 編號 6, 頁 263-266.
Jean, J. L. ; Lee, C. H. ; Wang, S. J. ; Chang, J. H. ; Tang, H. L. ; Shy, C. G. ; Wu, S. S. ; Lin, L. C. / Quick diagnosis of non-displaced fracture of the femoral neck : A case report. 於: Chinese Journal of Radiology. 2000 ; 卷 25, 編號 6. 頁 263-266.
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abstract = "Non-displaced fractures of the femoral neck in the elderly are serious injuries. They may not be evident on initial radiographs due to overlying soft tissue, osteopenia, or radiographic techniques. Delay in diagnosis can increase associated medical, economic, and legal implications in the changing health care environment, since displacement can lead to avascular necrosis of the femoral head, nonunion, or varus deformity. Early and accurate detection can enable physicians to perform relatively simple surgical fixations in situ. Refinements in diagnosis can improve outcomes and minimize the duration of hospital stays. Traditionally, bone scans and magnetic resonance imaging (MRI) have been used for early detection of non-displaced femoral neck fractures. The disadvantages of these examination techniques include exposure to radiation and high costs, respectively. Initial radiographs of elderly patients were equivocal, but clear fracture lines were demonstrated after retaking the films while keeping the ipsilateral foot internally rotated at 30 degrees. This simple radiographic technique can enhance radiographic diagnosis of this elusive entity.",
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T2 - A case report

AU - Jean, J. L.

AU - Lee, C. H.

AU - Wang, S. J.

AU - Chang, J. H.

AU - Tang, H. L.

AU - Shy, C. G.

AU - Wu, S. S.

AU - Lin, L. C.

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N2 - Non-displaced fractures of the femoral neck in the elderly are serious injuries. They may not be evident on initial radiographs due to overlying soft tissue, osteopenia, or radiographic techniques. Delay in diagnosis can increase associated medical, economic, and legal implications in the changing health care environment, since displacement can lead to avascular necrosis of the femoral head, nonunion, or varus deformity. Early and accurate detection can enable physicians to perform relatively simple surgical fixations in situ. Refinements in diagnosis can improve outcomes and minimize the duration of hospital stays. Traditionally, bone scans and magnetic resonance imaging (MRI) have been used for early detection of non-displaced femoral neck fractures. The disadvantages of these examination techniques include exposure to radiation and high costs, respectively. Initial radiographs of elderly patients were equivocal, but clear fracture lines were demonstrated after retaking the films while keeping the ipsilateral foot internally rotated at 30 degrees. This simple radiographic technique can enhance radiographic diagnosis of this elusive entity.

AB - Non-displaced fractures of the femoral neck in the elderly are serious injuries. They may not be evident on initial radiographs due to overlying soft tissue, osteopenia, or radiographic techniques. Delay in diagnosis can increase associated medical, economic, and legal implications in the changing health care environment, since displacement can lead to avascular necrosis of the femoral head, nonunion, or varus deformity. Early and accurate detection can enable physicians to perform relatively simple surgical fixations in situ. Refinements in diagnosis can improve outcomes and minimize the duration of hospital stays. Traditionally, bone scans and magnetic resonance imaging (MRI) have been used for early detection of non-displaced femoral neck fractures. The disadvantages of these examination techniques include exposure to radiation and high costs, respectively. Initial radiographs of elderly patients were equivocal, but clear fracture lines were demonstrated after retaking the films while keeping the ipsilateral foot internally rotated at 30 degrees. This simple radiographic technique can enhance radiographic diagnosis of this elusive entity.

KW - Avascular necrosis

KW - Femoral neck

KW - Fractures

KW - MRI

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