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Bone bruise, lipohemarthrosis, and joint effusion in CT of non-displaced hip fracture.

Geijer, Mats LU ; Dunker, Dennis; Collin, David and Göthlin, Jan H (2012) In Acta radiologica (Stockholm, Sweden : 1987) 53(2). p.197-202
Abstract
BackgroundA suspected occult hip fracture after normal radiography is not uncommon in an elderly person after a fall. Despite a lack of robust validation in the literature, computed tomography (CT) is often used as secondary imaging.PurposeTo assess the frequency and clinical utility of non-cortical skeletal and soft tissue lesions as ancillary fracture signs in CT diagnosis of occult hip fractures.Material and MethodsAll fracture signs (cortical and trabecular fractures, bone bruise, joint effusion, and lipohemarthrosis) were recorded in 231 hip low-energy trauma cases with CT performed after normal or equivocal radiography in two trauma centers.ResultsThere were no fracture signs in 110 patients. Twelve of these had a joint effusion. In... (More)
BackgroundA suspected occult hip fracture after normal radiography is not uncommon in an elderly person after a fall. Despite a lack of robust validation in the literature, computed tomography (CT) is often used as secondary imaging.PurposeTo assess the frequency and clinical utility of non-cortical skeletal and soft tissue lesions as ancillary fracture signs in CT diagnosis of occult hip fractures.Material and MethodsAll fracture signs (cortical and trabecular fractures, bone bruise, joint effusion, and lipohemarthrosis) were recorded in 231 hip low-energy trauma cases with CT performed after normal or equivocal radiography in two trauma centers.ResultsThere were no fracture signs in 110 patients. Twelve of these had a joint effusion. In 121 patients with 46 cervical hip fractures and 75 trochanteric fractures one or more fracture signs were present. Cortical fractures were found in 115 patients. Bone bruise was found in 119 patients, joint effusion in 35, and lipohemarthrosis in 20 patients.ConclusionAncillary signs such as bone bruise and lipohemarthrosis can strengthen and sometimes indicate the diagnosis in CT of occult hip fractures. Joint effusion is a non-specific sign. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta radiologica (Stockholm, Sweden : 1987)
volume
53
issue
2
pages
197 - 202
publisher
John Wiley & Sons
external identifiers
  • WOS:000301403100012
  • PMID:22250139
  • Scopus:84858854307
ISSN
1600-0455
DOI
10.1258/ar.2011.110466
language
English
LU publication?
yes
id
5a43dbc1-8a5e-43e9-8311-9b3392293a59 (old id 2336340)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22250139?dopt=Abstract
date added to LUP
2012-02-01 21:41:57
date last changed
2016-10-16 04:14:32
@misc{5a43dbc1-8a5e-43e9-8311-9b3392293a59,
  abstract     = {BackgroundA suspected occult hip fracture after normal radiography is not uncommon in an elderly person after a fall. Despite a lack of robust validation in the literature, computed tomography (CT) is often used as secondary imaging.PurposeTo assess the frequency and clinical utility of non-cortical skeletal and soft tissue lesions as ancillary fracture signs in CT diagnosis of occult hip fractures.Material and MethodsAll fracture signs (cortical and trabecular fractures, bone bruise, joint effusion, and lipohemarthrosis) were recorded in 231 hip low-energy trauma cases with CT performed after normal or equivocal radiography in two trauma centers.ResultsThere were no fracture signs in 110 patients. Twelve of these had a joint effusion. In 121 patients with 46 cervical hip fractures and 75 trochanteric fractures one or more fracture signs were present. Cortical fractures were found in 115 patients. Bone bruise was found in 119 patients, joint effusion in 35, and lipohemarthrosis in 20 patients.ConclusionAncillary signs such as bone bruise and lipohemarthrosis can strengthen and sometimes indicate the diagnosis in CT of occult hip fractures. Joint effusion is a non-specific sign.},
  author       = {Geijer, Mats and Dunker, Dennis and Collin, David and Göthlin, Jan H},
  issn         = {1600-0455},
  language     = {eng},
  number       = {2},
  pages        = {197--202},
  publisher    = {ARRAY(0x9297bf0)},
  series       = {Acta radiologica (Stockholm, Sweden : 1987)},
  title        = {Bone bruise, lipohemarthrosis, and joint effusion in CT of non-displaced hip fracture.},
  url          = {http://dx.doi.org/10.1258/ar.2011.110466},
  volume       = {53},
  year         = {2012},
}