Paper| Volume 28, ISSUE 4, P299-301, May 1997

Download started.


Delayed diagnosis of femoral neck fractures

      This paper is only available as a PDF. To read, Please Download here.


      To determine the causes and consequences of any delay from the onset of symptoms to diagnosis, 1108 consecutive patients with an acute proximal femoral fracture were prospectively studied. In 154 cases (13.9 per cent) the diagnosis was delayed more than 24 h from the onset of symptoms. The reason for this was due to failure to seek medical help in 63 patients. For the 91 patients who were seen by a medical practioner, 60 were not X-rayed straight away. For those cases where a radiographic examination was requested, the fracture was invisible in only nine cases, of which six subsequently displaced. The diagnosis was more likely to be delayed if the fracture occurred spontaneously, the patient fell inside, or the fracture was intracapsular. Delay in diagnosis was not associated with an increase in mortality but there was a significant increase in the risk of pressure sores.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Eastwood HDH
        Delayed diagnosis of femoral neck fractures in the elderly.
        Age Aging. 1987; 16: 378
        • Villar RN
        • Allen SM
        • Barnes SJ
        Hip fractures in healthy patients: operative delay versus prognosis.
        Br Med J. 1986; 293: 1203
        • Parker MJ
        • Pryor GA
        The timing of surgery for proximal femoral fractures.
        J Bone Joint Surg. 1992; 74B: 203
        • Quereshi KN
        • Hodkinson HM
        Evaluation of a ten-question mental test in the institutionalised elderly.
        Age Aging. 1974; 3: 152
        • Fairclough J
        • Colhoun E
        • Johnson D
        • Williams LA
        Bone scanning for suspected hip fractures.
        J Bone Joint Surg [Br]. 1987; 69B: 251
        • Lewis SL
        • Rees JIS
        • Thomas GV
        • et al.
        Pitfalls of bone scintigraphy in suspected hip fractures.
        Br J Radiol. 1991; 64: 403
        • Lang P
        • Genant HK
        • et al.
        Imaging of the hip joint-computed tomography versus magnetic resonance imaging.
        Clin Orthop Rel Res. 1992; 274: 135