What is acetabular rim fracture?
An acetabular fracture is a break in the socket portion of the “ball-and-socket” hip joint. These hip socket fractures are not common — they occur much less frequently than fractures of the upper femur or femoral head (the “ball” portion of the joint).
How do you classify an acetabular fracture?
The Letournel and Judet acetabular classification [4–6] is widely used and accepted for classifying acetabular fractures, communicating with others, selecting surgical approach, and reporting results [7–10, 12]. This classification, based on plain radiographs, is associated with high interobserver (κ = .
Which radiographic method is useful to diagnose fractures of the acetabulum?
3D-CT scans
In the current diagnostic procedure, generally, both plain radiographs and 3D-CT scans are used for the diagnosis of acetabular fractures.
How is acetabular fracture treated?
A surgeon needs to repair most acetabular fractures with surgery. Depending on the pattern and severity of your injury, your surgeon may perform: Open reduction and internal fixation (ORIF): With an ORIF, your surgeon puts the bone fragments back in place.
What causes an acetabulum fracture?
Causes and Risk Factors Acetabular fractures are usually caused by either high-energy trauma, most commonly from an automobile accident, or from what is called an insufficiency fracture. An insufficiency fracture is most common in older patients and is caused by the bone being weakened by osteoporosis.
Is acetabulum part of pelvis?
The socket, called the acetabulum, is a part of your pelvis. The ball moves in the socket, allowing your leg to rotate and move forward, backward and sideways. A hip fracture is a break in either the upper portion of the femur or of the pelvis.
What are Judet views?
(zhū-dā’), view consisting of two oblique radiographic projections centered on the hip in question, tilted 45° medially or laterally from a true anteroposterior direction; useful for fractures or deformities of the acetabulum.
What do Judet views demonstrate?
The oblique internal and external pelvis views otherwise known as the Judet view are additional projections to the pelvic series when there is suspicion of an acetabular fracture.
What is Clements Nakayama method?
The Clements-Nakayama view of the hip is a highly specialized lateral projection utilized on patients with bilateral femoral fractures, or patients unable to mobilize due to postoperative requirements.
What are the most common types of acetabulum fractures?
The number and size of the fracture fragments.
How to classify acetabular fractures?
– indications usually elderly patients with significant osteopenia and/or significant comminution pre-existing arthritis post-traumatic arthritis in all ages – techniques timing immediate vs. – outcomes patients older than 60 years have approx.
How are acetabular fractures treated?
Crutches or a walker: Until your bones are fully healed,you won’t be able to put any weight on your leg.
How are acetabulum fractures classified?
– Category 0: Isolated wall fractures – Category 1: Isolated column fractures – Category 2: Involvement of both columns 2A: Fracture only at the joint level 2B: Fracture extension into the ilium 2C: Fractural extension into the obturator foramen – Category 3: Floating acetabulum (both-column fracture)