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Related Experiment Video

Updated: May 2, 2026

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
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Persistent hip pain despite normal radiographs.

Alexander C Lee1, Marie White

  • 1In the George Washington University Medical Faculty Associates' Department of Emergency Medicine in Washington, D.C., Alexander C. Lee is a clinical instructor of emergency medicine and Marie White is an assistant clinical professor. The authors have disclosed no potential conflicts of interest, financial or otherwise.

JAAPA : Official Journal of the American Academy of Physician Assistants
|February 26, 2014
PubMed
Summary
This summary is machine-generated.

Acetabular fractures are often missed on initial hip and pelvic X-rays. Maintain high clinical suspicion for acetabular fractures in patients with persistent hip, pelvic, or buttock pain and difficulty walking.

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Area of Science:

  • Orthopedic surgery
  • Radiology
  • Trauma care

Background:

  • Acetabular fractures are complex injuries affecting the hip joint socket.
  • These fractures are notoriously difficult to detect on standard radiographic imaging.
  • Delayed diagnosis can lead to significant morbidity and long-term complications.

Observation:

  • Plain radiographs of the hip and pelvis frequently fail to detect acetabular fractures.
  • Clinical presentation may include persistent hip, pelvic, or buttock pain.
  • Inability to ambulate is a significant indicator of potential acetabular injury.

Findings:

  • A high index of clinical suspicion is paramount for identifying missed acetabular fractures.
  • Radiographic interpretation requires careful attention, especially in trauma cases.
  • Delayed diagnosis can lead to long-term complications.

Implications:

  • Emphasizes the need for vigilance in diagnosing acetabular fractures.
  • Suggests a potential role for advanced imaging modalities when suspicion is high.
  • Highlights the importance of clinical-radiological correlation in trauma patients.