Acetabulum Fractures

Question 1

Aetiology?

Answer 1

High energy injuries- young
Low energy injuries- old
Hip dislocations cause posterior acetabular wall fractures (RTA car driver)

Question 2

Investigation for acetabulum fractures?

Answer 2

Plan X-ray
Oblique x-ray
CT scan

Question 3

Treatment of acetabulum fracture?

Answer 3

Undisplaced fracture/small wire fracture= conservative

Unstable/displaced fractures= anatomic reduction & rigid fixation

CT scan: determine pattern of fracture & surgical planning