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NEJ Cases Orthopaedic An 87-year-old man tripped and fell

An 87-year-old man tripped and fell

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An 87-year-old man tripped and fell; subsequently, persistent pain developed in the left hip. A radiograph(Panel A) of the left hip 2 weeks after the fall  ,Because clinical suspicion of fracture was great, magnetic resonance imaging (MRI) of the hip was performed, The patient desired nonoperative management, and therefore he was given restrictions on weight-bearing activity with close orthopedic follow-up. He was treated empirically with calcium and vitamin D supplementation and a bisphosphonate. The patient has done well, with resolution of hip pain after 4 months of restricted weight-bearing.

 

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