Endgames Spot Diagnosis

Hip pain in a middle aged woman

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i6129 (Published 30 November 2016) Cite this as: BMJ 2016;355:i6129
  1. James S B Kho, radiology specialty registrar1,
  2. David C Howlett, radiology consultant2
  1. 1Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
  2. 2East Sussex Healthcare NHS Trust, UK
  1. Correspondence to J Kho jamesksb{at}gmail.com

A 52 year old woman with a history of breast cancer has pain in her right hip after a minor fall. What does the radiograph of her right hip (fig 1) show?

Fig 1 Radiograph of the right hip

Answer

The radiograph shows a pathological avulsion fracture of the lesser trochanter (fig 2). There is proximal femoral lucency, which represents an underlying bone …

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