Stephen J. Schueler, M.D.

Fractured Hip Evaluation

The evaluation of a hip fracture begins with a history and physical exam.

Physical findings in someone with a hip fracture may include:

  • Bruising of the buttocks
  • Bruising over the hip
  • Inability to stand
  • Limping
  • Numbness in the leg below the hip
  • Pain with movement of the hip joint
  • Shortening of the leg on the affected side
  • Swelling of the soft tissue over the hip
  • Tenderness over the hip
  • Weakness in the leg below the hip

Tests are required to make the diagnosis of a hip fracture.

Tests that may be used to evaluate a hip fracture include:
  • X-rays of the hip:
    • Normal hip x-rays
    • Common hip fractures
    • Femoral neck hip fracture
    • Intertrochanteric hip fracture
    • Types of hip fracture
  • CT scan of the hip
  • MRI of the hip joint
  • Bone scan

Continue to Fractured Hip Treatment

Last Updated: Sep 24, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Fractured Hip References
  1. Dominguez S, Liu P, Roberts C, Mandell M, Richman PB. Prevalence of traumatic hip and pelvic fractures in patients with suspected hip fracture and negative initial standard radiographs--a study of emergency department patients. Acad Emerg Med. 2005 Apr;12(4):366-9. [15805330]
  2. Dubey A, Koval KJ, Zuckerman JD. Hip fracture epidemiology: a review. Am J Orthop. 1999 Sep;28(9):497-506. [10497856]
  3. Dubey A, Koval KJ, Zuckerman JD. Hip fracture prevention: a review. Am J Orthop. 1998 Jun;27(6):407-12. [9652882]
  4. Jackman JM. New techniques in hip fracture management. Mo Med. 2005 May-Jun;102(3):231-5. [15960047]
  5. Wehren LE, Magaziner J. Hip fracture: risk factors and outcomes. Curr Osteoporos Rep. 2003 Sep;1(2):78-85. [16036069]
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