{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T06:34:39Z","timestamp":1763534079384,"version":"3.45.0"},"reference-count":13,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":2519,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,6,28]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>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. Multimorbidity represents an important diagnostic challenge to both primary and secondary care. This case study discusses a 90-year-old lady who was found to have an old right neck of femur fracture after attendance at an geriatric outpatient clinic for a discussion about anticoagulation, after GP referral.<\/jats:p>","DOI":"10.1071\/hc17087","type":"journal-article","created":{"date-parts":[[2018,9,16]],"date-time":"2018-09-16T20:25:11Z","timestamp":1537129511000},"page":"176-178","source":"Crossref","is-referenced-by-count":2,"title":["Incidental hip fracture in an outpatient clinic: the importance of patient-centred assessment"],"prefix":"10.1071","volume":"10","author":[{"given":"Lloyd David","family":"Hughes","sequence":"first","affiliation":[{"name":"AKelty Medical Practice, NHS Fife, Kelty, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavin","family":"Love","sequence":"additional","affiliation":[{"name":"BUniversity of Dundee and Ninewells Hospital Medical School, NHS Tayside, Dundee, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2018,6,28]]},"reference":[{"issue":"3","key":"2025111814121539600_R1","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1177\/2151458517713821","article-title":"Hip fractures in elderly people: surgery or no surgery? 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Polypharmacy Guidance. Edinburgh: Scottish Goverment; 2015 [cited 2018 March 12]. Available from: http:\/\/www.sehd.scot.nhs.uk\/publications\/DC20150415polypharmacy.pdf"},{"key":"2025111814121539600_R13","doi-asserted-by":"publisher","first-page":"e3526","DOI":"10.1136\/bmj.e3526","article-title":"Beyond diagnosis: rising to the multimorbidity challenge.","volume":"344","author":"Mangin","year":"2012","journal-title":"BMJ"}],"container-title":["The Journal of Primary Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/10\/2\/176\/222515\/hc17087.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/10\/2\/176\/222515\/hc17087.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T19:12:22Z","timestamp":1763493142000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/hc\/article\/10\/2\/176\/34890\/Incidental-hip-fracture-in-an-outpatient-clinic"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,28]]},"references-count":13,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018,6,28]]},"published-print":{"date-parts":[[2018,6,28]]}},"URL":"https:\/\/doi.org\/10.1071\/hc17087","relation":{},"ISSN":["1172-6156"],"issn-type":[{"type":"electronic","value":"1172-6156"}],"subject":[],"published":{"date-parts":[[2018,6,28]]}}}