What is the role of imaging in diagnosing hip fractures?

• A. Imaging is never used
• B. Imaging may be used to rule out other causes if diagnosis is unclear
• C. Imaging alone confirms fracture without exam
• D. Imaging replaces clinical assessment

Answer: (B)

Imaging serves as a diagnostic adjunct to history and physical exam. It helps clarify the cause of hip symptoms by ruling in a fracture when visible and by ruling out other potential causes of pain or functional limitation when the clinical picture is unclear. Radiographs are usually first-line, but they can miss occult fractures, especially early after injury, so MRI or CT can be needed to confirm fractures that aren’t seen on X-ray. Imaging should not replace clinical assessment, and it’s not used in isolation to declare a fracture. That combination—using imaging to clarify ambiguous cases and to exclude other possibilities—is why this option is the best description.