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Radiographically occult femoral and pelvic fractures are not mutually exclusive

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Radiographically occult femoral and pelvic fractures are not mutually exclusive : a review of fractures detected by MRI following low-energy trauma. / Szewczyk-Bieda, Magdalena; Thomas, Naveena; Oliver, Thomas Barry.

In: Skeletal Radiology, Vol. 41, No. 9, 09.2012, p. 1127-1132.

Research output: Contribution to journalScientific review

Harvard

Szewczyk-Bieda, M, Thomas, N & Oliver, TB 2012, 'Radiographically occult femoral and pelvic fractures are not mutually exclusive: a review of fractures detected by MRI following low-energy trauma' Skeletal Radiology, vol 41, no. 9, pp. 1127-1132.

APA

Szewczyk-Bieda, M., Thomas, N., & Oliver, T. B. (2012). Radiographically occult femoral and pelvic fractures are not mutually exclusive: a review of fractures detected by MRI following low-energy trauma. Skeletal Radiology, 41(9), 1127-1132doi: 10.1007/s00256-012-1362-0

Vancouver

Szewczyk-Bieda M, Thomas N, Oliver TB. Radiographically occult femoral and pelvic fractures are not mutually exclusive: a review of fractures detected by MRI following low-energy trauma. Skeletal Radiology. 2012 Sep;41(9):1127-1132.

Author

Szewczyk-Bieda, Magdalena; Thomas, Naveena; Oliver, Thomas Barry / Radiographically occult femoral and pelvic fractures are not mutually exclusive : a review of fractures detected by MRI following low-energy trauma.

In: Skeletal Radiology, Vol. 41, No. 9, 09.2012, p. 1127-1132.

Research output: Contribution to journalScientific review

Bibtex - Download

@article{dd647cd2100042008b14263a2d05708e,
title = "Radiographically occult femoral and pelvic fractures are not mutually exclusive",
author = "Magdalena Szewczyk-Bieda and Naveena Thomas and Oliver, {Thomas Barry}",
year = "2012",
volume = "41",
number = "9",
pages = "1127--1132",
journal = "Skeletal Radiology",
issn = "0364-2348",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Radiographically occult femoral and pelvic fractures are not mutually exclusive

T2 - a review of fractures detected by MRI following low-energy trauma

A1 - Szewczyk-Bieda,Magdalena

A1 - Thomas,Naveena

A1 - Oliver,Thomas Barry

AU - Szewczyk-Bieda,Magdalena

AU - Thomas,Naveena

AU - Oliver,Thomas Barry

PY - 2012/9

Y1 - 2012/9

N2 - <p>The purpose of this study was to review the MRI examinations of a large group of low-energy trauma patients in whom pelvic MRI had detected radiographically occult fractures, in order to characterize prevailing fracture patterns and determine how often co-existing proximal femoral and pelvic fractures were observed.</p><p>All patients having pelvic MRI over 5 years were identified. Word-search software selected 269 MRI reports containing the term 'fracture'. Further scrutiny identified 168 with diagnosis of fracture. MRI request and imaging record review identified 102 low-energy trauma cases that had MRI for clinical suspicion of fracture despite normal radiographs. Sixty-six cases were excluded for the following reasons: no expressed clinical suspicion of occult fracture; history suggesting high-energy trauma; skeletal co-morbidity hindering acute fracture identification; interval more than 2 weeks between radiographs and MRI. The 102 study MRI examinations, which employed a limited two-sequence protocol, were reviewed. Any fracture that had not been appreciated on radiographs was recorded and characterized as femoral, pelvic, or co-existing femoral and pelvic fractures.</p><p>The 102 study cases had a median age of 82 years. The median interval between pelvic radiographs and MRI was 3 days. MRI showed undiagnosed femoral fracture in 48/102 cases (47.1%), sacral fracture in 41/102 (40.2%), and pubic fracture in 55/102 (53.9%). In 11/102 cases (10.8%), MRI showed undiagnosed fractures of both proximal femur and pelvic ring (seven sacral, six pubic bone, two other site fractures). In 10/11 cases with co-existing femoral and pelvic fractures, the femoral fracture was incomplete.</p><p>Limited pelvic MRI found a high prevalence of radiographically occult femoral and pelvic fractures in low-energy trauma patients, with clinical suspicion of fracture despite normal radiographs. Co-existing occult femoral and pelvic ring fractures were commonly observed, and in such cases, the femoral fracture was likely to be incomplete and multiple pelvic fractures were typically present.</p>

AB - <p>The purpose of this study was to review the MRI examinations of a large group of low-energy trauma patients in whom pelvic MRI had detected radiographically occult fractures, in order to characterize prevailing fracture patterns and determine how often co-existing proximal femoral and pelvic fractures were observed.</p><p>All patients having pelvic MRI over 5 years were identified. Word-search software selected 269 MRI reports containing the term 'fracture'. Further scrutiny identified 168 with diagnosis of fracture. MRI request and imaging record review identified 102 low-energy trauma cases that had MRI for clinical suspicion of fracture despite normal radiographs. Sixty-six cases were excluded for the following reasons: no expressed clinical suspicion of occult fracture; history suggesting high-energy trauma; skeletal co-morbidity hindering acute fracture identification; interval more than 2 weeks between radiographs and MRI. The 102 study MRI examinations, which employed a limited two-sequence protocol, were reviewed. Any fracture that had not been appreciated on radiographs was recorded and characterized as femoral, pelvic, or co-existing femoral and pelvic fractures.</p><p>The 102 study cases had a median age of 82 years. The median interval between pelvic radiographs and MRI was 3 days. MRI showed undiagnosed femoral fracture in 48/102 cases (47.1%), sacral fracture in 41/102 (40.2%), and pubic fracture in 55/102 (53.9%). In 11/102 cases (10.8%), MRI showed undiagnosed fractures of both proximal femur and pelvic ring (seven sacral, six pubic bone, two other site fractures). In 10/11 cases with co-existing femoral and pelvic fractures, the femoral fracture was incomplete.</p><p>Limited pelvic MRI found a high prevalence of radiographically occult femoral and pelvic fractures in low-energy trauma patients, with clinical suspicion of fracture despite normal radiographs. Co-existing occult femoral and pelvic ring fractures were commonly observed, and in such cases, the femoral fracture was likely to be incomplete and multiple pelvic fractures were typically present.</p>

U2 - 10.1007/s00256-012-1362-0

DO - 10.1007/s00256-012-1362-0

M1 - Scientific review

JO - Skeletal Radiology

JF - Skeletal Radiology

SN - 0364-2348

IS - 9

VL - 41

SP - 1127

EP - 1132

ER -

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