Radiological Diagnosis and Imaging of Femoral Shaft Fractures

Abstract

Femoral shaft fractures (FSFs) are common orthopedic injuries, often resulting from high-energy trauma such as motor vehicle collisions, low-energy trauma, osteoporosis, or pathological conditions. They account for a significant portion of long bone fractures. Radiologic imaging plays a pivotal role in the diagnosis of these fractures, providing crucial information about fracture characteristics, associated injuries, and successful treatment and management planning. This paper provides a comprehensive review of the anatomy, pathophysiology, and classification systems of FSFs. Diagnostic imaging modalities, including radiograph, computed tomography (CT), and magnetic resonance imaging (MRI), and their essential roles are highlighted, driving treatment and management as well as prognosis for FSFs and illuminating the anatomical considerations that influence the choice of approach and fixation techniques. Radiological diagnosis and imaging of FSFs are vital for orthopedic surgeons, radiologists, and healthcare professionals involved in the care of patients with these injuries and optimizing patient outcomes.

Bioanalytical evaluation of wound depth and musculoskeletal injuries: Synergizing focused assessment with sonography for trauma with computed tomography/magnetic resonance imaging in orthopaedic trauma care

“…CT scans are essential in acute trauma contexts due to their high‐resolution imaging capabilities, which enable them to provide detailed information on bone structures and fractures 22 . Magnesium (MRI) is a highly effective modality for evaluating ligament, tendon and muscle injuries due to its exceptional soft tissue contrast 23 .…”

“…CT scans are essential in acute trauma contexts due to their high‐resolution imaging capabilities, which enable them to provide detailed information on bone structures and fractures. 22 Magnesium (MRI) is a highly effective modality for evaluating ligament, tendon and muscle injuries due to its exceptional soft tissue contrast. 23 According to our research, MRI demonstrated superior performance in assessing complex musculoskeletal injuries compared to CT and FAST in terms of sensitivity, specificity, PPV, NPV and overall accuracy.…”