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Related Experiment Video

Updated: May 17, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

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Bilateral occult hip fracture.

Willis B Grad¹, Nicholas M Desy

¹Emergency Department, Jewish General Hospital, Montréal, QC H3T 1E2. willis.grad@mcgill.ca

|November 8, 2012

Summary

Occult hip fractures, often missed on initial X-rays, pose a diagnostic challenge in emergency departments. This review covers their epidemiology, diagnostic tools, and treatment for better patient outcomes.

Area of Science:

Orthopedics
Emergency Medicine
Radiology

Background:

Hip fractures are common emergency department acute injuries.
Diagnosis is typically via plain radiographs, but some fractures are not apparent.
Occult hip fractures present a diagnostic pitfall for emergency physicians.

Observation:

This case report details a patient with bilateral occult hip fractures.
The study reviews the epidemiology of occult hip fractures.
Diagnostic studies for occult hip fractures are examined.

Findings:

Plain radiographs may not always reveal hip fractures.
Various diagnostic modalities exist to aid in identifying occult hip fractures.
The utility of each diagnostic modality is discussed in the literature.

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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy

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Implications:

Accurate diagnosis of occult hip fractures is crucial for appropriate management.
Understanding the epidemiology and diagnostic options can improve patient prognosis.
This review provides insights into the treatment of occult hip fractures.