Hip Fracture: MRI Characteristics

Description

Dr Jonathan M. Vigdorchik, MD gives his insights as he describes the evaluation and diagnosis process for an elderly patient presenting with hip pain after a fall. Initial X-ray results show no fractures, leading to the recommendation of an MRI as the next best step. Key aspects of MRI interpretation are explained, focusing on the T2 and T1 imaging sequences. On T2 images, increased fluid and swelling in the bone appear bright white, indicating potential hidden fractures. Conversely, on T1 images, the fluid appears dark. The focus is on identifying acute injuries, particularly subchondral fractures of the femoral head, through careful examination of the imaging results.

DOI: 10.1302/3114-251135

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