The Analysis Study of CT and MRI iln Identifying Occult Hip Fracture : A Comprehensive Systematic Review

Abstract

Background: This study aims to compare the diagnostic accuracy of computed tomography (CT) scans and magnetic resonance imaging (MRI) in detecting occult hip fractures. Methods: Following PRISMA 2020 guidelines, this systematic review focused exclusively on full-text articles published in English between 2014 and 2024. Result: The study conducted a comprehensive review of over 100 publications sourced from reputable databases, including ScienceDirect, SagePub, and PubMed. Following an initial screening, eight publications were identified as warranting more in-depth analysis. Consequently, a thorough review of these selected studies was performed to ensure a detailed and rigorous evaluation. Conclusion: Occult fractures should be considered in patients with traumatic hip pain and normal X-ray results. While MRI is the gold standard for detection, it is less accessible, more expensive, and slower compared to CT, which can produce false negatives within the first 24 hours. Optimized imaging protocols could help accelerate diagnosis and improve patient care.