Acetabular fracture, CT
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This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
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Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0514-Acetabular fracture, CT
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CA0514-Acetabular fracture, CT
Case ReportHistory
Exam
Prior Study
Findings
Findings
Posterior wall fracture of the right acetabulum. The fracture extends from approximately the 11:00 to the 8:00 position of the acetabulum, with involvement of the posterior weightbearing acetabular dome. There are multiple posterior wall fragments with the largest measuring 2.5 cm in transverse dimension. The fragments are displaced and demonstrate apex superior angulation. At the level of the fovea capitis, approximately 50-60% of the posterior wall has been fractured.
An additional nondisplaced fracture line is present in the ischium extending from the acetabular surface to the quadrilateral plate at the level of the ischial spine. No fracture components extending more inferiorly into the ischium.
Associated impaction fracture of the right inferior femoral head which extends to the level of the fovea capitis.
Numerous intra-articular fragments within the right hip joint space. Superiorly, these fragments measure up to 0.7 cm and are likely related to the posterior wall fracture. Inferiorly, the fragments measure up to 1.2 cm and are likely related to the femoral head fracture. No marginal impaction. Small right hip joint lipohemarthrosis.
Mild lateral translation of the right femoral head within the acetabulum compared to the left, likely secondary to the presence of intra-articular bodies and joint fluid. The right hip demonstrates anatomic AP and craniocaudal approximation.
No additional fractures or malalignment identified.
Small hematoma adjacent to the right posterior acetabular wall fracture site. The right sciatic nerve is in close proximity to this hematoma.
Atherosclerosis. Small fat-containing left inguinal hernia. Small amount of fluid in the pelvis, likely reactive. Bladder distention.
Impression
Associated impaction fracture of the right femoral head which extends to the level of the fovea capitis.
