Skip to main content
SpringerLink
Log in

Posttraumatic hip pain: The role of magnetic resonance imaging in the emergency setting

  • Original Article
  • Published:
Emergency Radiology Aims and scope Submit manuscript

Abstract

The diagnosis of hip fracture is confounded by a significant proportion of patients who have a fracture but whose radiographs are negative because of osteopenia or degenerative osteophytes. Additional imaging is needed in these cases to establish the diagnosis quickly, thereby avoiding the complications and costs associated with diagnostic delay. This review describes the utility of magnetic resonance imaging in the evaluation of posttraumatic hip pain in patients with negative radiographs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Plancher KD, Donshik JD. Femoral neck and ipsilateral neck and shaft fractures in the young adult. Orthop Clin North Am 1997;28:447–59.

    Article  CAS  PubMed  Google Scholar 

  2. Matin P. The appearance of bone scans following fractures, including immediate and long term studies. Diagn Nucl Med 1979;20:1227–31.

    CAS  Google Scholar 

  3. Holder LE, Schwarz C, Wernicke PG, Michael RH. Radionuclide bone imaging in the early detection of fractures of the proximal femur (hip): multifactorial analysis. Radiology 1990;174:509–15.

    CAS  PubMed  Google Scholar 

  4. Lewis SL, Rees JIS, Thomas GV, Williams LA. Pitfalls of bone scintigraphy in suspected hip fractures. Br J Radiol 1991;64:403–8.

    CAS  PubMed  Google Scholar 

  5. Asnis SE, Gould ES, Bansal M, Rizzo PF, Bullough PG. Magnetic resonance imaging of the hip after displaced femoral neck fractures. Clin Orthop 1994;298:191–8.

    PubMed  Google Scholar 

  6. Rizzo PF, Gould ES, Lyden JP, Asnis SE. Diagnosis of occult fractures about the hip. J Bone Joint Surg Am 1993;75:395–401.

    CAS  PubMed  Google Scholar 

  7. Deutsch AL, Mink JH, Waxman AD. Occult fractures of the proximal femur: MR imaging. Radiology 1989;170:113–6.

    CAS  PubMed  Google Scholar 

  8. Quinn SF, McCarthy JL. Prospective evaluation of patients with suspected hip fractures and indeterminate radiographs: use of T1-weighted MR images. Radiology 1993;187:469–71.

    CAS  PubMed  Google Scholar 

  9. Bogost GA, Lizerbram EK, Crues JV. MR imaging in evaluation of suspected hip fracture: frequency of unsuspected bone and soft tissue injury. Radiology 1995;197:263–7.

    CAS  PubMed  Google Scholar 

  10. Yao L, Lee JK. Occult intraosseous fracture: detection with MR imaging. Radiology 1988;167:749–51.

    CAS  PubMed  Google Scholar 

  11. Lynch TCP, Crues JV, Morgan FW, et al. Bone abnormalities of the knee. Radiology 1989;171:761–6.

    CAS  PubMed  Google Scholar 

  12. Deutsch AL, Mink JN, Shellock FG. Magnetic resonance imaging of injuries to bone and articular cartilage. Orthop Rev 1990;19:66–75.

    CAS  PubMed  Google Scholar 

  13. Vellet AP, Marks PH, Fowler PJ, Munro TG. Occult post traumatic osteochondral lesions of the knee. Radiology 1991;178:271–6.

    CAS  PubMed  Google Scholar 

  14. Mirowitz SA, Apicella P, Reinus WR, Hammerman AM. MR imaging of bone marrow lesions: relative conspicuousness on T1-weighted, fat-suppressed T2-weighted, and STIR images. AJR Am J Roentgenol 1994;162:215–21.

    CAS  PubMed  Google Scholar 

  15. Kapelov SR, Teresi LM, Bradley WG, et al. Bone contusions of the knee: increased lesion detection with fast spin-echo MR imaging with spectroscopic fat saturation. Radiology 1993;189:901–4.

    CAS  PubMed  Google Scholar 

  16. Otte MT, Helms CA, Fritz RC. MR imaging of supra-acetabular insufficiency fractures. Skeletal Radiol 1997;26:279–83.

    Article  CAS  PubMed  Google Scholar 

  17. Blikenstaff LD, Morris JM. Fatigue fracture of the femoral neck. J Bone Joint Surg Am 1966;48:1031–47.

    Google Scholar 

  18. Alba E, Youngberg R. Occult fractures of the femoral neck. Am J Emerg Med 1992;10:64–8.

    Article  CAS  PubMed  Google Scholar 

  19. Slocum KA, Gorman JD, Puckett ML, Jones SB. Resolution of abnormal MR signal intensity in patients with stress fractures of the femoral neck. AJR Am J Roentgenol 1997;168:1295–9.

    CAS  PubMed  Google Scholar 

  20. Protzman RP, Burkhalter WE. Femoral neck fractures in young adults. J Bone Joint Surg Am 1976;58:689–95.

    CAS  PubMed  Google Scholar 

References

  1. Deutsch AL, Mink JH, Waxman AD. Occult fractures of the proximal femur: MR imaging. Radiology 1989;170:113–6.

    CAS  PubMed  Google Scholar 

  2. Quinn SF, McCarthy JL. Prospective evaluation of patients with suspected hip fractures and indeterminate radiographs: use of T1-weighted MR images. Radiology 1993;187:469–71.

    CAS  PubMed  Google Scholar 

  3. Lang P, Genant HK, Jergesen HE, Murray WR. Imaging of the hip joint: computed tomography versus magnetic resonance imaging. Clin Orthop 1992;274:135–53.

    PubMed  Google Scholar 

  4. Sauser DD, Billimoria PE, Rouse GA, Mudge K. CT evaluation of hip trauma. AJR Am J Roentgenol 1980;135:269–74.

    CAS  PubMed  Google Scholar 

  5. Mudge B, Riesett M, Magid D, Fishman EK. Multiplanar imaging of the hip. Radiol Technol 1988;59:307–11.

    CAS  PubMed  Google Scholar 

  6. Egund N, Nilsson LT, Wingstrand H, Stromqvist B, Pettersson H. CT scans and lipohaemarthrosis in hip fractures. J Bone Joint Surg Br 1990;72:379–82.

    CAS  PubMed  Google Scholar 

  7. Hughes SS, Voit G, Kates SL. The role of computerized tomography in the diagnosis of an occult femoral neck fracture associated with an ipsilateral femoral shaft fracture: case report. J Trauma 1991;31:296–8.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Radnet Management, Inc., Los Angeles, California

    John V. Crues M.D.

  2. Madison Radiologists, 6601 Grand Teton Plaza, 53717, Madison, WI

    Gregg A. Bogost M.D.

Authors
  1. Gregg A. Bogost M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. John V. Crues M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bogost, G.A., Crues, J.V. Posttraumatic hip pain: The role of magnetic resonance imaging in the emergency setting. Emergency Radiology 5, 368–374 (1998). https://doi.org/10.1007/BF02749182

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02749182

Key Words

Search

Navigation