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BET 2: CT versus MRI for occult hip fractures
  1. Bernard A Foex,
  2. Anna Russell
  1. Emergency Department, Manchester Royal Infirmary, Manchester, UK
  1. Correspondence to Dr Bernard A Foex; bernard.foex{at}


A short-cut review was carried out to establish whether CT or MRI is better at detecting an occult hip fracture. Six studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line is that CT is a valid first-line investigation for a suspected plain X-ray occult hip fracture. If clinical suspicion remains after a negative CT scan, then MRI should be used.

  • emergency care systems

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.