Fractured Neck of Femur Case 5

The patient attends acutely following a fall and complains of pain in her right hip. The x-ray is passed as normal (click on the x-ray to enlarge).

If the x-ray is thought to be normal, there are two possibilities. Most likely is that the x-ray is normal but it’s possible that there is a fracture that has been missed. If the clinical features suggest a fracture but the x-ray appears normal, it’s important that the x-ray is re-examined. Consider obtaining a second opinion. A radiologist confirms that there is no bony injury.

Which of the following might the management plan include?

Select one or more options.

This patient, unable to walk, was admitted. The following day, she is still immobile and you decide to request further imaging to exclude a fracture.

What is the most appropriate further imaging?