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Neck of femur fracture diagnostic study of choice

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.

3D CT scan pelvis with both hips showing neck of femur fracture with posteriorly dislocated head. Source: Case courtesy by: Dr. Rohan A. Bhimani
CT scan pelvis with both hips showing neck of femur fracture with posteriorly dislocated head. Source: Case courtesy by: Dr. Rohan A. Bhimani
CT scan pelvis with both hips showing neck of femur fracture. Source: Case courtesy by: Dr. Rohan A. Bhimani
CT scan pelvis with both hips showing neck of femur fracture. Source: Case courtesy by: Dr. Rohan A. Bhimani

References

  1. 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.
  2. 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.
  3. Rockwood, Charles (2010). Rockwood and Green’s fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
  4. Azar, Frederick (2017). Campbell’s operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.
  5. Azar, Frederick (2017). Campbell’s operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.

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