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Chapter 4

Geriatric Ribs and Hips

Rob Orman, MD and Christina Shenvi, MD
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Geriatric EP Christina Shenvi discusses management of elderly patients with hip and rib fractures. 

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Rob C., RN/EMTP -

Is there a better sensitivity of finding new vs old rib fx using CT w/ contrast?

Rob O., MD -

Hey Rob! A great question and certainly a point of confusion. With bone windows on a CT scan, contrast isn't going to help much. This is one reason why when you get a dedicated CT of the hip or spine, it's a non-con. If you're really wanting to know if a fracture is new or old (and often this applies to vertebral fractures rather than rib fractures) MRI is going to be a better bet, or even bone scanning if you are going all in.

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2.25 AMA PRA Category 1 Credits™ certified by Hippo Education (2020)