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Aim Hip fracture is one of the most common fall‐related injuries in the elderly population. Although falls may cause multiple types of injuries, no study has investigated the details of fall‐related injuries accompanied by hip fractures. This study aimed to characterize the features of such injuries. Methods This is a cross‐sectional study using data from four tertiary emergency departments in Japan. We identified patients diagnosed with hip fracture including femoral neck fracture, trochanter fracture, or subtrochanteric fracture from May 12, 2014 to July 12, 2021. Among patients with hip fracture, we included those with fall‐related hip fracture. We excluded patients ages <40 years old and whose fall was high energy onset, defined as fall from more than three steps or 1 m. Results Among 326 emergency departments patients diagnosed with fall‐related hip fracture, 288 patients were eligible for the analysis. Seventeen patients (6%) had injuries in addition to hip fractures. The most frequent injury was upper limb injury (e.g., distal radial fracture; n = 5, 30%), followed by head injury (e.g., subdural hematoma; n = 4, 24%), chest injury (e.g., pneumothorax; n = 2, 12%), and trunk injury (vertebral compression fracture; n = 2, 12%). There were no significantly different clinical characteristics between patients with hip injuries and those without. Conclusion A total of 6% of patients diagnosed with hip fracture had other fall‐related injuries. The most frequent were upper limb injury and head injury. Our findings underscore the importance of whole‐body assessment in patients with fall‐related hip fracture in the emergency department.

detected by colposcope digital imaging compared to those injuries detected using a high-resolution camera system.Methods: This was a retrospective, before-and-after trial to assess genital injuries in consecutive adult (˃16 years old) women presenting after sexual assault to a freestanding nurse examiner clinic (NEC) during a 3-year study period. The clinic is staffed by forensic clinicians trained to perform medical-forensic examinations using colposcopy with nuclear staining and digital imaging. Patients evaluated in 2015-2016 had all injuries documented using a Cooper Surgical Leisegang© colposcope system; those seen in 2018 had injuries documented using only the high-resolution camera system. The primary outcome of interest was the frequency of genital findings documented in sexual assault victims from each group. Descriptive statistics were used to summarize the frequency of anogenital injury, location, and type of injury (abrasion, laceration, erythema, ecchymosis, and edema). Chi-square and ANOVA tests were used to compare the two study groups (standard colposcopy vs high-resolution camera system).Results: A total of 367 women were evaluated during the "before" period and 180 in the "after" period. The two groups were comparable in terms of demographics, alcohol use, assault history, time interval to examination, and the frequency of genital injuries (76.1% vs. 74.9%, p¼0.76). Patients examined using the high-resolution camera system had a significantly greater number of mean genital injuries documented (2.4 vs. 1.8, p <0.001). The women in this group also had significantly more anogenital abrasions identified (51.1% vs. 27.0%, p <0.001). The overall injury pattern was not statistically different; common sites of injury in both groups were posterior, including the fossa navicularis, fourchette, and labia minora.Conclusions: Accurate photo-documentation is a standard of forensic care. Our results suggest that identification of anogenital injuries varies depending on the type of imaging system utilized.