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Related Experiment Videos

Occult acetabular fracture in an elderly runner.

Mathews Thomas1

  • 1Division of Physical Therapy, School of Allied Health Sciences, Florida A & M University, Tallahassee, FL 32307, USA. mathews.thomas@famu.edu

The Journal of Orthopaedic and Sports Physical Therapy
|June 17, 2006
PubMed
Summary

A rare acetabular hip fracture occurred in an elderly runner, initially misdiagnosed as tendonitis. This case highlights diagnostic challenges and the importance of thorough follow-up for hip injuries in older adults.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Radiology

Background:

  • A 79-year-old male runner experienced a hip injury, initially diagnosed as tendonitis.
  • Conservative treatment for hip tendonitis proved ineffective over six months.

Observation:

  • The patient presented with persistent hip pain after jogging.
  • Initial radiographs were inconclusive for bony injury.

Findings:

  • Advanced imaging, including CT scan, revealed a rare supra-acetabular fracture.
  • The patient successfully underwent total hip arthroplasty and recovered well.

Implications:

  • This case underscores the diagnostic difficulties associated with rare acetabular fractures in runners.

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  • Emphasizes the critical need for vigilant follow-up and advanced imaging in elderly patients with persistent hip pain, particularly those with potential cognitive deficits.