Occult femoral fracture: be aware of dual energy computed tomography

被引：0

作者：

Ruggiero, Sergio ^{[1
]}

Bellini, Davide ^{[1
]}

Rengo, Marco ^{[1
]}

Vicini, Simone ^{[1
]}

Carbone, Iacopo ^{[1
]}

机构：

[1] Sapienza Univ Rome, ICOT Hosp, Dept Radiol Sci Oncol & Pathol, Latina, Italy

来源：

JOURNAL OF CLINICAL ULTRASOUND | 2024年 / 52卷 / 08期

关键词：

bone marrow edema; dual-energy CT; emergency setting; occult femoral fracture; virtual noncalcium; BONE-MARROW EDEMA; CT;

D O I：

10.1002/jcu.23775

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

A 74-year-old man was admitted to our emergency department following minor trauma. Plain radiographs and standard computed tomography (CT) scans revealed no signs of fractures. Subsequently, virtual noncalcium (VNCa) images were reconstructed, showing a linear area of bone marrow edema (BME) resembling a femoral neck fracture. Magnetic resonance imaging (MRI) was performed to confirm the presence of BME and an associated intraspongious fracture. In an emergency setting, dual-energy CT (DECT) and VNCa images can successfully identify occult femoral fractures, especially in patients with mild symptoms and minor trauma, thereby preventing misdiagnosis.

引用

页码：1254 / 1258

页数：5

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