Re-evaluating the lateral hip view in the management of femoral neck fractures
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Matthew R. Bedford · Mark B. S. Brewster ·Lars O. Grimstvedt · Kevin O’Dwyer
- چاپ و سال / کشور: 2010
Description
neck fractures remains debatable. In many institutions, lateral hip X-rays are routinely obtained on all suspected fractures. Studies exist questioning the impact of the routine lateral view on fracture management. This study re-evaluates lateral hip X-rays, looking at their adequacy and subsequent eVect on management planning. Methods Twelve orthopaedic surgeons were retrospectively asked to decide the management of 30 femoral neck fractures solely from their antero-posterior view. The same Wlms were then re-shown in conjunction with their lateral view. Observers were asked to comment on lateral X-ray adequacy and again note their choice of management. Results were compared with respect to management plan and Wlm adequacy. Results In 21.1% of cases, addition of the lateral X-ray resulted in a change in management plan. Twenty-six of the 30 fractures had their management changed by at least 1 observer when the lateral view was added. The lateral X-ray was deemed adequate in 79.4% of cases. Change in management was not related to whether fractures were intra- or extracapsular (P = 0.781). Conclusions The lateral hip view does alter the management in a signiWcant proportion of femoral neck fractures. The potential costs (both patient and institutional) of not obtaining a lateral view on this group are great, and thus, in contrast to previous studies, we advocate the lateral view continues to be obtained routinely
Eur J Orthop Surg Traumatol (2011) 21:165–169 DOI 10.1007/s00590-010-0680-y Received: 24 February 2010 / Accepted: 11 August 2010 / Published online: 27 August 2010
