Outcomes of displaced and nondisplaced pelvic and sacral fractures in elderly adults. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. 2015 97(6):568–76.īurge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. The epidemiology of incident fracture from cradle to senescence. Pasco JA, Lane SE, Brennan-Olsen SL, Holloway KL, Timney EN, Bucki-Smith G, Morse AG, Dobbins AG, Williams LJ, Hyde NK, Kotowicz MA. Particularly, low-energy fractures of the subtrochanteric femur or avulsion of the lesser trochanter in adults should be considered highly suspicious for an underlying osseous malignancy focus and should undergo further imaging and clinical evaluation. Pathologic fractures of the hip are also common. It is important to be familiar to attachment sites of major muscle groups in order to identify these injuries. Avulsion fractures are common in pelvis and hip trauma. MRI is the best modality for identifying most soft tissue injuries however, it is rarely utilized in the acute trauma setting because musculoskeletal soft tissue injuries rarely require urgent management. Intravenous contrast is not needed to assess for fractures on CT but should be used in high-energy trauma to characterize soft tissue injuries. CT is usually required for assessment of pelvic fractures due to the complex bony anatomy osteology of the pelvis. Radiography is usually adequate for assessing acute hip trauma, although MRI or CT should be considered to evaluate for occult femoral neck fractures in patients with a high index of suspicion for injury. Pelvis and hip trauma has a bimodal distribution, occurring most commonly due to high-energy trauma in young patients and as low-energy fragility fractures in the elderly.
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