Acetabular pelvic fractures: Difference between revisions

(Created page with "==Background== *Fractures usually when head of femur forced into acetabulum *Obvious when displaced, subtle non-displaced ==Radiographically== *Iliopubic line extends from ili...")
 
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*Ilioischial line- extends from ilium to ischial ramus forming radiographic teardrop, "U" shaped, on AP pelvis
*Ilioischial line- extends from ilium to ischial ramus forming radiographic teardrop, "U" shaped, on AP pelvis
*Quadrilateral plate forms medial wall of acetabulum
*Quadrilateral plate forms medial wall of acetabulum
* Fractures characterized by:
==Fractures==
**Anterior column-anterior acetabulum to pubic ramus
**Anterior column-anterior acetabulum to pubic ramus
**Posterior column- posterior acetabulum to ischial ramus
**Posterior column- posterior acetabulum to ischial ramus
**Anterior and posterior columns merge to form acetabular dome= weight bearing portion
**Anterior and posterior columns merge to form acetabular dome= weight bearing portion
***Fractures involving acetabular dome require operative fixation
***Fractures involving acetabular dome require operative fixation

Revision as of 18:49, 7 August 2015

Background

  • Fractures usually when head of femur forced into acetabulum
  • Obvious when displaced, subtle non-displaced

Radiographically

  • Iliopubic line extends from ilium to superior pubic ramus
  • Ilioischial line- extends from ilium to ischial ramus forming radiographic teardrop, "U" shaped, on AP pelvis
  • Quadrilateral plate forms medial wall of acetabulum

Fractures

    • Anterior column-anterior acetabulum to pubic ramus
    • Posterior column- posterior acetabulum to ischial ramus
    • Anterior and posterior columns merge to form acetabular dome= weight bearing portion
      • Fractures involving acetabular dome require operative fixation