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Resolution
The diagnosis is fracture of the neck of the femur. Femoral neck fractures are frequently missed, and it is not uncommon for patients to be able to weight bear. Occult fractures occur in 2% – 9% of cases. If the fracture is not readily apparent on x-ray, MRI is the study of choice. Maintain a high index of suspicion in elderly falls. Refer to hospital for orthopedic evaluation.
Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
Clinical Challenge: January, 2012
Nahum Kovalski, BSc, MDCM
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