Doctronic navigation menu Log In
Doctronic navigation menu
Contents
  • X-rays: The First Look
  • When X-rays Aren't Enough
  • Advanced Imaging Options

Diagnosing Hip Fractures: From X-rays to Advanced Imaging

Diagnosing Hip Fractures: From X-rays to Advanced Imaging

The Big Picture

Accurate diagnosis of hip fractures is crucial for proper treatment. While X-rays are the first line of imaging, sometimes more advanced tests are needed to catch hidden fractures.
Contents
  • X-rays: The First Look
  • When X-rays Aren't Enough
  • Advanced Imaging Options

X-rays: The First Look

X-rays are the initial go-to test for suspected hip fractures. Doctors typically take two views: an anterior-posterior (AP) view and a lateral view. These images can show most fractures clearly, revealing changes in bone alignment or breaks in the bone structure. However, some fractures can be subtle and hard to spot on X-rays alone.

When X-rays Aren't Enough

Sometimes, a hip fracture might not show up on an X-ray, especially if it's a small crack or in a tricky location. If a doctor strongly suspects a fracture based on symptoms but the X-ray looks normal, they might order more advanced imaging. This is particularly important for older adults, who can have serious complications if a fracture is missed.
A comprehensive approach to diagnosing hip fractures using X-rays and advanced imaging techniques such as MRI to ensure accurate identification and treatment.

Advanced Imaging Options

Magnetic Resonance Imaging (MRI) is the gold standard for detecting hidden hip fractures. It can show detailed images of the bone and surrounding soft tissues, making even tiny fractures visible. If MRI isn't available, a CT scan can be a good alternative. In some cases, a bone scan might be used, but it takes longer to show results.

FAQs

How accurate are X-rays for hip fractures?

X-rays detect most hip fractures, but can miss up to 10%.

Is MRI safe for everyone?

Most people can have MRIs, but some with metal implants can't.

How long does it take to get imaging results?

X-ray results are quick, while MRI or CT might take a few hours.

Key Takeaways

While X-rays are the first step, advanced imaging like MRI can be crucial for accurate hip fracture diagnosis.
Worried about a possible hip fracture? Ask Doctronic about the best imaging options for your situation.
Additional References
  1. Haj-Mirzaian A, et al. Use of Advanced Imaging for Radiographically Occult Hip Fracture in Elderly Patients: A Systematic Review and Meta-Analysis. Radiology 2020; 296:521.
  2. Kellock TT, et al. Diagnostic Performance of CT for Occult Proximal Femoral Fractures: A Systematic Review and Meta-Analysis. AJR Am J Roentgenol 2019; 213:1324.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.