A 82-year-old has groin pain after a fall and cannot weight bear. AP pelvis X-ray is negative, but pain persists with axial loading and internal

Question

A 82-year-old has groin pain after a fall and cannot weight bear. AP pelvis X-ray is negative, but pain persists with axial loading and internal rotation. What is the most appropriate investigation?

Accepted Answer

MRI hip or CT if MRI is unavailable to assess occult fracture

Answer

Serum creatine kinase as the diagnostic test

Answer

Discharge because the X-ray is negative

Answer

No imaging if analgesia allows standing briefly

Answer

Bone scan as the immediate ED test

Occult hip fracture — RCPSC EM MCQ

A 82-year-old has groin pain after a fall and cannot weight bear. AP pelvis X-ray is negative, but pain persists with axial loading and internal rotation. What is the most appropriate investigation?