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How much do you trust your plain film in the evaluation of elderly patients with traumatic hip pain?
Additional Information
A 2020 meta-analysis involving 3000 elderly patients investigated radiographically occult hip fractures.
The rate of surgical hip fracture was reported in each study.
MRI was used as the reference standard.
Mean age, 76.8 years ± 6.0.
The frequency of radiographically occult surgical hip fracture was 39% (1110 of 2835 patients)
The frequency of occult fracture was higher in 3 groups of patients:
Aged at least 80 years
Those with an equivocal radiographic report
Those with a history of trauma
References
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 Sep;296(3):521-531.