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Emergency Evaluation of Acute Hip Fractures: Role of MRI and Orthopedic Intervention

Wright, Adam T. MD; Chong, Suzanne T. MD, MS; Kielar, Ania Z. MD, FRCRC; Hallstrom, Brian R. MD; Jacobson, Jon A. MD

Contemporary Diagnostic Radiology: June 15th, 2014 - Volume 37 - Issue 12 - p 1–5
doi: 10.1097/01.CDR.0000450822.82500.96

More than 250,000 hip fractures occur annually in the United States, and the incidence is increasing as the population ages.1 By 2050, the number of hip fractures worldwide is estimated to range from 7.3 million to 21.3 million.2 The associated 1-year mortality is significant, approximately 16% in patients between 60 and 89 years old and up to 51% in patients more than 90 years old. A 2-day delay in the surgical treatment of acute hip fractures can double mortality.

Dr. Wright is Resident, Department of Radiology, Dr. Chong is Assistant Professor, Division of Emergency Radiology, Dr. Hallstrom is Assistant Professor, Department of Orthopedic Surgery, and Dr. Jacobson is Professor, Division of Musculoskeletal Radiology, University of Michigan Health System, Taubman Center, Floor B1, Room 141, 1500 E. Medical Center Drive, SPC 5302, Ann Arbor, MI 48109; E-mail:; and Dr. Kielar is Assistant Professor, Division of Abdominal Radiology, Department of Radiology, University of Ottawa, Ottawa, Canada.

After participating in this activity, the diagnostic radiologist should be better able to diagnose acute hip fractures, particularly by utilizing hip MRI not only for the detection and characterization of occult hip fractures but also for its important role in determining orthopedic surgical management.

The authors and all staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no relationships with, or financial interests in, any commercial organizations pertaining to this educational activity.

Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation on the enclosed answer form, answering at least seven of the 10 quiz questions correctly. This continuing medical education activity expires on September 5, 2014.

© 2014 by Lippincott Williams & Wilkins, Inc.
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