Pandey R, McNally E, Ali A, Bulstrode C
Department of Trauma, John Radcliffe Hospital, Oxford, UK.
Injury. 1998 Jan;29(1):61-3. doi: 10.1016/s0020-1383(97)00165-4.
Undisplaced fractures of the hip can occasionally be difficult to diagnose on radiographs. We performed MRI scans on 33 patients who had post-traumatic painful hips but negative radiographs. Forty per cent of the patients had sustained a fractured neck of femur, 15 per cent had sustained an intertrochanteric fracture and 11 per cent had sustained other fractures around the hip; in one patient a tumour was demonstrated. No fracture was seen in 30 per cent of the patients scanned. MRI is well tolerated by elderly patients in pain, does not involve ionising radiation and provides early and accurate diagnosis in patients with X-ray negative post-traumatic hip pain.
髋部无移位骨折有时在X线片上难以诊断。我们对33例创伤后髋部疼痛但X线片阴性的患者进行了MRI扫描。40%的患者发生了股骨颈骨折，15%的患者发生了转子间骨折，11%的患者发生了髋部周围的其他骨折；1例患者显示有肿瘤。在接受扫描的患者中，30%未发现骨折。MRI对疼痛的老年患者耐受性良好，不涉及电离辐射，能为创伤后X线阴性的髋部疼痛患者提供早期准确的诊断。
