A 50-year-old member asked:
can you tell me: are x-rays (radiology) 100% accurate in detecting hairline fractures?
4 doctor answers
Dr. Paxton Daniel answered
39 years experience Radiology
No: These can be invisible acutely. Continued symptoms can indicate need for a followup xray in 2 weeks. The second xray will often show changes that were invisible before. Continued suspicion of a fracture invisible on xray can further be investigated with ct, MRI (looking for marrow edema), and nuclear medicine bone scan.
Answered on Jun 10, 2014
Dr. Ernst Garcon answered
30 years experience Diagnostic Radiology
No: Nothing is 100% in medicine.
Answered on Feb 12, 2014
Dr. Brenda Koblick answered
Specializes in Diagnostic Radiology
Hairline fracture: Some hairline fractures can be undetectable on traditional x-rays . Sometimes a nuclear bone scan can be helpful for detection of these radio graphically occult fractures.
Answered on Oct 4, 2015
Dr. Stephen Hofkin answered
28 years experience Radiology
Not perfect: Plain film X-rays are excellent and diagnosing fractures but small fractures and in some parts of body can be difficult. If the X-ray is normal and there is high clinical suspicion for a fracture then other imaging is warranted. Often repeating the X-ray with different positioning or waiting a period of time to see if new bone growth. Other options include MRI and bone scan.
Answered on Nov 30, 2014
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