Presentation
Fall on to hip. Neck of femur fracture?
Patient Data
Age: 90 years
Gender: Male
AP Pelvis and left hip xray
From the case:
Neck of femur fracture and incidental lytic bone lesion
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Left sided neck of femur fracture. minimally displaced. Lytic lesion in the subtrochanteric region on the left side with endosteal scalloping seen on the lateral projection only.
Case Discussion
The patient's surgery has been delayed now to investigate for primary malignancy/myeloma.
Learning point: vigilance and remind yourself about the satisfaction of search.