Subtrochenteric femoral neck fracture

Case contributed by UoE Radiology

Presentation

Fall at home. Spent the night on the floor because she was unable to get back up. Family found her in the morning. RIght hip pain.

Patient Data

Age: 70 years
Gender: Female

Look at the film on the next tab and think about how you would report it (or how you'd describe it to a colleague over the phone).

Right subtrochenteric femoral neck fracture.

Hopefully, you saw the right sided femoral neck fracture. And hopefully you used a systematic approach to look at the fracture and describe it.

One approach uses the mnemonic OLDACIDS:

  • O: (open or closed) - no description of an open fracture was given
  • L: (location) - 
  • D: (degree) - 
  • A: (articular involvement) - none
  • C: (comminution/type) - subtrochenteric
  • I: (instrinsic bone quality) - normal
  • D: (displacement) - 
  • S: (soft tissue injury) - 

Case Discussion

There is an obvious right subtrochenteric femoral neck fracture, but it is important to approach the film with a systematic approach to ensure that you don't miss additional subtle abnormalities.

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