Evidence map›Paper›PMID 42459980›Full record

ArticleFrontiers in surgery2026

Study on the predictive value of femoral head HU values in hip fractures.

Wenjie Qin, Jiangyun Liao, Jianwen Cheng

Abstract read
In one paragraph

Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Wenjie QinDepartment of Orthopaedics Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Jiangyun LiaoDepartment of Operating Room of Anesthesiology, Fourth Affiliated Hospital of Guangxi Medical University/Liuzhou City Worker Hospital, Liuzhou, Guangxi, China.
Jianwen ChengDepartment of Orthopaedics Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study investigates whether the CT Hounsfield Unit (HU) value of the femoral head can differentiate femoral neck fractures (FNF) from intertrochanteric femoral fractures (IFF), and whether it can serve as an indicator for predicting the complexity of intertrochanteric fractures. Methods: A retrospective analysis was conducted on 234 patients (117 with FNF and 117 with IFF), measuring the average HU value of the femoral head on preoperative CT. According to the Orthopaedic Trauma Association/AO Foundation (AO/OTA) classification, IFFs were categorized into stable (A1.1-A2.1) and unstable (A2.2-A3) types. Statistical comparisons were performed using independent sample Results: HU values could not distinguish FNF from IFF, but within IFFs, unstable fractures had significantly lower HU values than stable ones. Male patients had significantly higher HU values than females. ROC analysis suggested that HU values showed high specificity (91.89%) but low sensitivity (17.5%) for predicting intertrochanteric fracture stability, with moderate overall diagnostic performance (AUC = 0.6764). Gender-specific thresholds were identified but also showed moderate performance. These values support a rule-in role rather than general screening. Conclusion: Femoral head HU values are a reliable imaging marker for predicting intertrochanteric fracture stability and identifying high-risk patients, particularly women with unstable fractures, with consideration for sex differences in application.

Indexed as

bone densityfracture fixationhip fracturesHounsfield unitsosteoporosis

Identifiers

PMID42459980
PMCPMC13372471

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.