Occult intertrochanteric fracture

Case contributed by Dr Michael P Hartung


Left hip pain after a fall.

Patient Data

Age: 85
Gender: Male

Day 1

Subtle fragmentation about the greater trochanter. Subtle lower intertrochanteric lucency. No displaced fracture. 


Day 150

Nondisplaced intertrochanteric fracture evidenced by T1 hypointense fracture line and T2 hyperintense edema. 

Case Discussion

Subtle radiographic findings of fracture were not noticed on the initial read.

The patient continued to have pain and underwent MRI, showing a nondispalced interterchanteric fracture. In retrospect, subtle fragmentation of the greater trochanter and fine intertrochanteric lucency can be appreciated. 

MRI findings of injury are much more striking, and highlight the value in patients with suspected nondisplaced fracture. 

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Case information

rID: 63855
Published: 21st Oct 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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