{"id":657,"date":"2015-05-14T07:55:47","date_gmt":"2015-05-14T11:55:47","guid":{"rendered":"http:\/\/emeddoc.org\/?p=657"},"modified":"2015-05-14T07:56:37","modified_gmt":"2015-05-14T11:56:37","slug":"hip-fracture-xray-negative-whats-next","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=657","title":{"rendered":"Hip Fracture, Xray negative, what&#8217;s next?"},"content":{"rendered":"<p>I usually review a question on my board review series regarding a patient with trauma and negative x-ray of hip, what is the next step? The answer is usually CT scan, and I have to admit that this is my routine practice that I do not rely on X-ray, if my patient still is symptomatic,<\/p>\n<p><!--more-->I will do confirmatory test and that is usually CT. It is faster and easier to be done in ED,\u00a0 but <a href=\"http:\/\/www.injuryjournal.com\/article\/S0020-1383%2815%2900264-8\/abstract?rss=yes\">Injury<\/a> published this study in May, 2015\u00a0 observed that MRI has a higher diagnostic accuracy than CT in detecting occult fractures of the hip, Just for resident who needs resource for our board review discussion.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.injuryjournal.com\/article\/S0020-1383%2815%2900264-8\/abstract?rss=yes\">Link to article<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I usually review a question on my board review series regarding a patient with trauma and negative x-ray of hip, what is the next step? The answer is usually CT scan, and I have to admit that this is my routine practice that I do not rely on X-ray, if my patient still is symptomatic,<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32,13,14,15,16],"tags":[],"class_list":["post-657","post","type-post","status-publish","format-standard","hentry","category-orthopedics","category-pgy1","category-pgy2","category-pgy3","category-pgy4"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/657","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=657"}],"version-history":[{"count":3,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/657\/revisions"}],"predecessor-version":[{"id":660,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/657\/revisions\/660"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=657"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=657"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=657"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}