Pelvic Trauma
A 35-year-old motorcyclist is involved in a high-speed collision and sustains a hip injury. AP pelvis radiograph shows acetabular fracture with posterior hip dislocation. Judet oblique views and CT scan are obtained showing involvement of both columns with a transverse component and posterior wall comminution. The ilioischial line is disrupted on the iliac oblique view. Displacement of the weight-bearing dome is greater than 3mm. The surgeon plans surgical stabilization and discusses approach selection. Regarding acetabular fracture classification and surgical approaches:
Mark each as TRUE or FALSE
The Judet and Letournel classification describes the acetabulum as an INVERTED Y with anterior and p...
Judet oblique radiographs are ESSENTIAL: the ILIAC oblique (45° toward affected side) profiles the P...
The iliac oblique view profiles the anterior column; the obturator oblique profiles the posterior co...
The Kocher-Langenbeck (posterior) approach is used for posterior wall, posterior column, and some tr...
Surgical indications include displacement greater than 2mm of the weight-bearing DOME (roof arc meas...
Answer the questions to see explanations
Click T (True) or F (False) for each option