Acetabular fractures after RTA Flashcards
componenets of the acetabulum are
Columns (anterior and posterior)
Walls
Dome
Quadrilateral plate
Quadrilateral plate is the
medial wall of the acetabulum
what views are there for the pelvis on radiograph?
Iliac oblique - posterior and iliac blade
Obturator oblique - anterior column
Inlet
Outlet
types of fracture of the acetabular - Judet and letournel Classification
Simple
Associcated
Brandser and marsh classification
gives a table of different types of fracture
Acetabulum - fracture patterns are
Wall fractures
Column fractures
Transverse fractures
what type of injury is associated with acetabular injury?
Head and spinal injury
intra abdominal / thoraccic.
locally
pelvic ring instability
bladder and visceral injury / haemorrhage
hip dislocations
What position is the femur in anterior and posterior dislocations
Posterior dislocation - adduction
Anteriorly dislocated - abduction
Risks with posterior hip dislocation
Avascular necrosis of the femoral head Hip instability Sciatic nerve injury Femoral head fractures/osteochondral damage Loose bodies Osteoarthritis of the hip