Authors: Christopher Bryden, Peter Robinson / Editor: Jason M Kendall / Reviewer: Tadgh Moriarty, Ines Corcuera / Codes: ELC5, ELP2, ELP3, ELP4, ELP5, SLO2, SLO4, TC2, TP6 / Published: 29/12/2023
A 53-year-old lady with MS presents with left hip and pelvic pain after a fall. She has difficulty in weight bearing since the fall a few days prior.
Clinical examination post analgesia proves largely unremarkable apart from severe pain in the left hip when an attempt is made to mobilise. A pelvic x-ray is ordered. Blood tests show no signs of inflammation or infection. Her urine hcg is negative.
The pelvic x-ray is shown:
6 responses
interesting case
Good case
Useful reminder to do further imaging on patients who are unable to mobilise with analgesia despite no clear neck of femur fracture on x-ray – an occult fracture may still exist
INTERESTING CASE , LIKLEY TO MEET IN CLINICAL PRACTICE AS WELL
Interesting, spot on!
Rare Case