What does this research mean for the field?

Occult femoral fractures in elderly patients can be missed by initial MRI, requiring repeat imaging and high clinical suspicion when symptoms persist. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This case aims to emphasize the diagnostic difficulties associated with occult subtrochanteric fractures in elderly individuals with negative initial imaging results.

May 20, 2026International Journal of Surgery Case ReportsOpen Access

Diagnostic challenge of occult subtrochanteric femoral fracture in an elderly patient with negative initial MRI: a case report

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Authors

RERugendabanga Karume EdouardMuhimbili National Hospital DYDaniel Jawarnorita YosephUniversity of Arusha WHWilliam James HarrisonUniversity of Liverpool

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Implication

Case report highlights the importance of repeated imaging for occult fractures in elderly patients with hip pain.

Key Points

This case aims to emphasize the diagnostic difficulties associated with occult subtrochanteric fractures in elderly individuals with negative initial imaging results.
Case report of a 76-year-old female with hip pain and inability to bear weight
Initial pelvic imaging (radiographs and MRI) showed no fracture
Repeat imaging detected a subtrochanteric femoral fracture after symptom progression
Initial MRI and radiographs were negative for fracture; repeat radiography confirmed the fracture after 20 days
The patient underwent intramedullary nailing after a 31-day delay from initial presentation
Clinical judgment is critical in managing persistent symptoms and considering further imaging

Cite This Study

Edouard et al. (2026) studied this question.

synapsesocial.com/papers/6a0d50cdf03e14405aa9cedb https://doi.org/10.1097/rc9.0000000000000537

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Diagnostic challenge of occult subtrochanteric femoral fracture in an elderly patient with negative initial MRI: a case report

Discussion

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Implication

Key Points

Cite This Study

Diagnostic challenge of occult subtrochanteric femoral fracture in an elderly patient with negative initial MRI: a case report

Discussion

Member takes

Implication

Key Points

Cite This Study

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