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Neck of femur fracture x ray

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

Radiographic imaging is important in diagnosis, classification, treatment and follow-up assessment of neck of femur fracture. The routine minimal evaluation for neck of femur fracture must include two views – an anteroposterior (AP) view and lateral view.

X Ray

X ray of Pelvis with both Hips showing right side fracture neck of femur. Source: Case courtesy by: Dr. Rohan A. Bhimani
  • Radiographic imaging is important in diagnosis, classification, treatment and follow-up assessment of neck of femur fracture.
  • The routine minimal evaluation for neck of femur fracture must include two views – anteroposterior view of the hip and pelvis and a cross-table lateral view.

X ray findings include:[1][2][3][4]

Anteroposterior View

Lateral View

  • Posteromedial fracture lines are visualized.

References

  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.

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