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首页> 外文期刊>Injury >The role of MRI in the diagnosis of proximal femoral fractures in the elderly.
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The role of MRI in the diagnosis of proximal femoral fractures in the elderly.

机译：MRI在老年人股骨近端骨折诊断中的作用。

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The diagnosis of an undisplaced hip fracture cannot always be made on plain radiographs alone. The use of MRI scanning in detecting occult hip fractures is well documented. However, no previous studies have suggested which specific patient group would benefit most from this investigation. Thirty-five patients with hip pain and normal plain radiographs underwent MRI scanning. Pathology was detected in 29 of the patients, of which 21 involved a neck of femur fracture. Patients were divided into two groups based on age. In patients over 70 years, pathology detected resulted in surgical intervention in 13 cases. This is in contrast with those below the age of 70 years, in whom no neck of femur fractures were found and no surgical intervention was indicated (p<0.001). We recommend that an MRI scan be performed on such patients, above 70 years of age. These are the patients in whom management is significantly altered due to the imaging process used.
机译：髋部骨折未移位的诊断不能总是仅通过X线平片进行。 MRI扫描在检测隐匿性髋部骨折中的用途已得到充分证明。但是，以前的研究都没有提示哪个特定的患者将从该调查中受益最大。 35例髋关节疼痛和X线平片正常的患者接受了MRI扫描。在29例患者中检测到病理，其中21例涉及股骨颈骨折。根据年龄将患者分为两组。在70岁以上的患者中，检测到的病理结果导致13例手术干预。与年龄在70岁以下的人相反，在这些人中未发现股骨颈骨折，也没有进行手术干预（p <0.001）。我们建议对70岁以上的此类患者进行MRI扫描。这些患者由于使用的成像过程而使治疗显着改变。

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