Acetabular pelvic fractures

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Background

  • Fractures usually when head of femur forced into acetabulum
  • Obvious when displaced, subtle non-displaced

Radiographically

  • Iliopubic line extends from ilium to superior pubic ramus
  • Ilioischial line- extends from ilium to ischial ramus forming radiographic teardrop, "U" shaped, on AP pelvis
  • Quadrilateral plate forms medial wall of acetabulum

Fractures

    • Anterior column-anterior acetabulum to pubic ramus
    • Posterior column- posterior acetabulum to ischial ramus
    • Anterior and posterior columns merge to form acetabular dome= weight bearing portion
      • Fractures involving acetabular dome require operative fixation