Presentation
Fall from standing height onto her right hip. Shortened and externally rotated right lower limb.
Patient Data
Pelvis and right hip radiographs revealed a basicervical femoral neck fracture.
There is a discrete fracture line at the base of the femoral neck.
The right Shenton line is disrupted, which further indicates a femoral neck fracture (see annotated image below).
Incidental atherosclerosis is noted bilaterally.
Shenton line drawn on both hips. The right Shenton line is disrupted, indicating a femoral neck fracture.
Case Discussion
Using the hip landmarks is a way to systematise and avoid missing more discrete findings.
In the present case, one could miss the right femoral neck fracture. However, if the Shenton line is properly assessed, it would be noticed that it is disrupted on the right, indicating a femoral neck fracture.
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