coronal imaging; figure 1C). She was treated with osteosynthesis (figure 1D) to stabilise the femoral neck fracture, which resulted in a good functional outcome at 6-month follow-up. Occult femoral neck fractures are frequently misdiagnosed. Once misdiagnosed, the non-displaced fracture may become displaced. When this occurs, patients may need to be treated with hip arthroplasty, which is more ...

In four women with occult fracture-subluxation of the midtarsal joint incurred in trivial accidents, the correct diagnosis was made promptly, assisted in one case by bone scintigraphy. Treatment was conservative, consisting of cast immobilization for six to eight weeks and a weight-bearing restriction. At the minimum follow-up time of 24 months, the functional results were rated good in three p...

BACKGROUND In skeletally immature children, it can often be difficult to differentiate occult Salter-Harris I fibula fractures from ankle sprains based on physical examination, and often, initial radiographs in both conditions are only notable for soft tissue swelling. The likelihood of a child having subsequent plain radiographic evidence of a fracture in this setting and the likelihood of sub...

AIM To evaluate whether a modified radiographic view of the femoral neck improves the diagnosis of occult proximal femoral. MATERIALS AND METHODS Prospective study of patients presenting with clinically suspected proximal femoral fractures or who underwent traditional plain radiographic views and the Bristol hip view (a 30-degree angled projection). Six blinded independent observers assessed ...

Diagnosis of occult hip fractures by initial radiographs remains challenging in the emergency department. Previously, the gold standard for accurate diagnosis of occult hip fractures was magnetic resonance imaging. This study used initial radiographs obtained in the emergency department to evaluate specific signs and measurements as diagnostic references for occult femoral neck fractures in eld...

Although a true fracture is commonly associated with increased radionuclide uptake on bone scintigraphy, it is also possible for an area with no increased uptake (a cold line) to indicate fracture, as demonstrated in this case study. Detection of an occult acute hip fracture through recognition of a cold fracture line is important because of the associated therapeutic, economic, and medicolegal...

OBJECTIVES To examine variation across US hospitals in evaluation for occult fractures in (1) children <2 years old diagnosed with physical abuse and (2) infants <1 year old with injuries associated with a high likelihood of abuse and to identify factors associated with such variation. METHODS We performed a retrospective study in children <2 years old with a diagnosis of physical abuse and i...

A 68 year old female who had occult instability at a symptomatic osteoporotic L1 burst fracture was diagnosed by manual axially loaded magnetic resonance imaging. Traction resulted in the reduction of the fracture and decompression of the conus. Based on these findings, the patient underwent L1-L2 fusion with complete resolution of her back and leg pain. Our objective is to describe the utility...

Injuries with the Monteggia fracture-dislocation pattern necessitate operative fixation of the ulna fracture in an adult. It is important to identify this by taking radiographs of the elbow and wrist joints in all cases of ulna fracture. We present a case of an occult Monteggia fracture-dislocation in an adult, which was not apparent on the initial radiographs. A thorough clinical examination a...