Acetabular and ilial fractures

Case contributed by Dr Varun Babu

Presentation

Involved in a road traffic collision.

Patient Data

Age: 30 years
Gender: Male
CT

10 cm long displaced fracture of right ilium along long axis of bone with a fracture gap exceeding 17 mm. There is caudal extension to roof of acetabulum which is disintegrated into a minimum of three parts. Non-displaced small fracture of inferior lip of acetabulum. Mild cranial migration of right femur with no femur fracture. Comminuted fracture of left femur neck, post fixation. Rest of the pelvic bones are normal.  

Right L5 sacralisation.  

Case Discussion

High velocity road traffic collision resulting in significant fracture and displacement of right ilium with extension to acetabular roof.

Important to document the hip joint extension so that no hip instability ensues following repair. 

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Case information

rID: 59084
Published: 20th Mar 2018
Last edited: 20th Mar 2018
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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