An Alarming Slip of the Hip
After a fall, an 80-year-old woman is brought to the emergency department for evaluation of hip pain. She was getting out of bed when she slipped, fell, and landed on her right hip; bearing weight now is painful. She denies hitting her head. The patient’s vital signs are normal. Her medical history is significant for hypertension and diabetes. Inspection of the hip reveals no obvious deformity or shortening. The right lateral aspect of the hip exhibits mild swelling and decreased range of motion secondary to the pain. You order a pelvic radiograph, which is shown. What is your impression?
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