Neck of femur fracture diagnostic study of choice

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]

Overview[edit | edit source]

Computed tomography (CT) is the gold standard test for the diagnosis of neck of femur fracture. Computed tomography (CT) with two-dimensional reconstruction in the sagittal and coronal planes provides more detailed information than radiographs. CT helps in fracture fragment orientation and surgical planning.

Diagnostic Study of Choice[edit | edit source]

Study of choice[edit | edit source]

Computed tomography (CT) is the gold standard test for the diagnosis of neck of femur fracture.^[1]

Diagnostic results[edit | edit source]

The following findings on performing computed tomography (CT) are confirmatory for neck of femur fracture:^[1][2][3][4]

• CT confirms x ray findings.
• CT also helps in fracture fragment orientation.

Sequence of Diagnostic Studies[edit | edit source]

The various investigations must be performed in the following order:^[5]

• X-rays of the hip joint
• CT scan of the hip joint
• MRI of the hip joint

Name of Diagnostic Criteria[edit | edit source]

There are no established criteria for the diagnosis of femoral neck fracture.

3D CT scan pelvis with both hips showing neck of femur fracture with posteriorly dislocated head. Source: Case courtesy by: Dr. Rohan A. Bhimani	CT scan pelvis with both hips showing neck of femur fracture with posteriorly dislocated head. Source: Case courtesy by: Dr. Rohan A. Bhimani
CT scan pelvis with both hips showing neck of femur fracture. Source: Case courtesy by: Dr. Rohan A. Bhimani	CT scan pelvis with both hips showing neck of femur fracture. Source: Case courtesy by: Dr. Rohan A. Bhimani

References[edit | edit source]

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