Complex Acetabular fracture - CT
Claim CME CreditPOINT OF CARE INFORMATION
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.
CME Advisory Committee Disclosure:
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.
CA0516-Complex Acetabular fracture - CT
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CA0516-Complex Acetabular fracture - CT
Case ReportHistory
Exam
Prior Study
Findings
Findings
Both column fracture of the right acetabulum. There is a dominant fracture component beginning anteriorly at the level of the anterior iliac crest and extending posteroinferiorly to exit the innominate bone just superior to the ischial spine, isolating the entire acetabular articular surface from the sciatic buttress. Additional fracture component crosses the articular surface of the acetabulum posterior to the 12:00 position and extends across the weightbearing acetabular dome and anteroinferiorly across the acetabular articular surface. Maximal distraction of this fracture component measures approximately 1.2 cm. There is an additional fracture line in the posterior wall which is minimally displaced. There is medialization of the right femoral head.
Medialization of the right femoral head. Tiny intra-articular bodies are present within the right hip joint space.
Segmental fracture of the right inferior pubic ramus.
Extensive hematoma along the right pelvic sidewall. No evidence for active contrast extravasation. Asymmetric enlargement of the right sciatic nerve. Mass effect on the bladder from pelvic sidewall hematoma. Right ureter courses through right pelvic sidewall hematoma.
Osseous mineralization at the lower limits of normal. Multiple small bone islands noted.
Degenerative changes noted at the lumbosacral junction. Mild bilateral sacroiliac joint degenerative change. Mild pubic symphysis degeneration. Mild bilateral hip osteoarthritis.
Atherosclerosis.
Impression
Segmental fracture of the inferior pubic ramus.
Extensive hematoma along the right pelvic sidewall without evidence for extravasation. Hematoma results in mass effect on the bladder.
Possible right sciatic nerve injury.
Recommendations
Orthopedic consultation.
