Journal of Primary Health Care Journal of Primary Health Care Society
Journal of The Royal New Zealand College of General Practitioners

Just Accepted

This article has been peer reviewed and accepted for publication. It is in production and has not been edited, so may differ from the final published form.

Incidental Hip Fracture in Out-Patient Clinic – The Importance of Patient Centred Assessment

Lloyd Hughes , Gavin Love


Although many patients presenting with hip fractures have classic symptoms, other patients may present atypically with referred knee pain and reasonably unremarkable clinical examination following initial presentation. Older patients commonly have comorbid conditions such as arthritis, stroke and dementia that can complicate history and examination making the diagnosis of subtle fractures difficult. Indeed, multi-morbidity represents an important diagnostic challenge to both primary and secondary care. This case discusses a 90-year old lady who was found to have an old right neck of femur fracture after attendance at the geriatric out-patient clinic for a discussion about anticoagulation after GP referral.

HC17087  Accepted 11 April 2018

© CSIRO 2018