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Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes?
PURPOSE: Occult hip fractures in the elderly can be missed on standard radiographs and are a known cause of morbidity. These are generally diagnosed on either magnetic resonance imaging (MRI) or computed tomography scan, depending upon local hospital policy. While there is an abundance of literature...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Hip Society
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414407/ https://www.ncbi.nlm.nih.gov/pubmed/30899711 http://dx.doi.org/10.5371/hp.2019.31.1.18 |
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author | Raval, Pradyumna Mayne, Alistair I.W. Yeap, Phey Ming Oliver, Thomas Barry Jariwala, Arpit Sripada, Sankar |
author_facet | Raval, Pradyumna Mayne, Alistair I.W. Yeap, Phey Ming Oliver, Thomas Barry Jariwala, Arpit Sripada, Sankar |
author_sort | Raval, Pradyumna |
collection | PubMed |
description | PURPOSE: Occult hip fractures in the elderly can be missed on standard radiographs and are a known cause of morbidity. These are generally diagnosed on either magnetic resonance imaging (MRI) or computed tomography scan, depending upon local hospital policy. While there is an abundance of literature on hip fractures in general, little is known about the clinical outcome of patients with occult hip fractures. The aim of this study was to review the demographics, injury characteristics, management and clinical outcome of patients diagnosed with occult femoral neck fractures on MRI. MATERIALS AND METHODS: Using an existing hospital database, a retrospective analysis of all patients with occult hip fractures diagnosed by MRI scan from 2005 to 2014 was conducted. RESULTS: Sixty-four patients (23 males and 41 females) were included. The mean duration of hospitalisation was 16 days. A significantly higher percentage of patients were discharged to their pre-existing residence compared to National Institute for Health and Care Excellence (NICE) commissioning guidelines (66% vs. 45%). The 30- and 60-day mortalities were 3% and 10%, respectively. Mortality was lower in patients who underwent internal fixation (n=3/31) compared with those undergoing replacement (hemi/total hip arthroplasty) (n=5/12) (P=0.056). CONCLUSION: Patients with occult hip fractures diagnosed on an MRI scan are more likely to be discharged to their pre-existing residence and have lower mortality rates compared to NICE guidelines and National Hip Fracture Database (NHFD). |
format | Online Article Text |
id | pubmed-6414407 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Korean Hip Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-64144072019-03-21 Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes? Raval, Pradyumna Mayne, Alistair I.W. Yeap, Phey Ming Oliver, Thomas Barry Jariwala, Arpit Sripada, Sankar Hip Pelvis Original Article PURPOSE: Occult hip fractures in the elderly can be missed on standard radiographs and are a known cause of morbidity. These are generally diagnosed on either magnetic resonance imaging (MRI) or computed tomography scan, depending upon local hospital policy. While there is an abundance of literature on hip fractures in general, little is known about the clinical outcome of patients with occult hip fractures. The aim of this study was to review the demographics, injury characteristics, management and clinical outcome of patients diagnosed with occult femoral neck fractures on MRI. MATERIALS AND METHODS: Using an existing hospital database, a retrospective analysis of all patients with occult hip fractures diagnosed by MRI scan from 2005 to 2014 was conducted. RESULTS: Sixty-four patients (23 males and 41 females) were included. The mean duration of hospitalisation was 16 days. A significantly higher percentage of patients were discharged to their pre-existing residence compared to National Institute for Health and Care Excellence (NICE) commissioning guidelines (66% vs. 45%). The 30- and 60-day mortalities were 3% and 10%, respectively. Mortality was lower in patients who underwent internal fixation (n=3/31) compared with those undergoing replacement (hemi/total hip arthroplasty) (n=5/12) (P=0.056). CONCLUSION: Patients with occult hip fractures diagnosed on an MRI scan are more likely to be discharged to their pre-existing residence and have lower mortality rates compared to NICE guidelines and National Hip Fracture Database (NHFD). Korean Hip Society 2019-03 2019-03-05 /pmc/articles/PMC6414407/ /pubmed/30899711 http://dx.doi.org/10.5371/hp.2019.31.1.18 Text en Copyright © 2019 by Korean Hip Society http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Raval, Pradyumna Mayne, Alistair I.W. Yeap, Phey Ming Oliver, Thomas Barry Jariwala, Arpit Sripada, Sankar Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes? |
title | Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes? |
title_full | Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes? |
title_fullStr | Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes? |
title_full_unstemmed | Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes? |
title_short | Outcomes of Magnetic Resonance Imaging Detected Occult Neck of Femur Fractures: Do They Represent a Less Severe Injury with Improved Outcomes? |
title_sort | outcomes of magnetic resonance imaging detected occult neck of femur fractures: do they represent a less severe injury with improved outcomes? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414407/ https://www.ncbi.nlm.nih.gov/pubmed/30899711 http://dx.doi.org/10.5371/hp.2019.31.1.18 |
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