Hip Fracture Presenting as Isolated Knee Pain, ,

Hip fracture is commonly seen in the emergency department. Clinical presentation generally includes a history of trauma or fall, a complaint of pain in or around the hip, and physical findings of limb shortening or external rotation. A case of spontaneous hip fracture in an elderly woman presenting as pain isolated to the anterior knee alone is reviewed. Recognition of this atypical presentation will aid prompt diagnosis of this common clinical entity. [Guss DA: Hip fracture presenting as isolated knee pain. Ann Emerg Med March 1997;29:418-420.]