Email this article Express diagnostic of acetabular fractures. Part I. X-ray associated anatomy, simple fractures diagnostic algorithm (part I)
- Authors: Stoyukhin S.S.1, Lazarev A.F.2, Gudushauri Y.G.2, Solod S.E.2
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Affiliations:
- “City clinical hospital No. 15. O. M. Filatov” Department of health of Moscow
- National medical researchcenter for traumatology and orthopedics N.N. Priorova Ministry of Health of Russia
- Issue: Vol 26, No 3 (2019)
- Pages: 37-48
- Section: Reviews
- URL: https://journal-vniispk.ru/0869-8678/article/view/47191
- DOI: https://doi.org/10.17116/vto201903137
- ID: 47191
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Abstract
This article describes main radiologic signs of bony structures that form acetabulum. The methods of poly projection x-rays study and evaluation of it are described. Also, authors show rational algorithm of choosing fracture type according to Judet—Letournel classification. Case presentation is based on simple fracture types.
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##article.viewOnOriginalSite##About the authors
S. S. Stoyukhin
“City clinical hospital No. 15. O. M. Filatov” Department of health of Moscow
Author for correspondence.
Email: sergey.stoyukhin@gmail.com
PHd, MD, traumatologist-orthopedist
Russian Federation, MoscowA. F. Lazarev
National medical researchcenter for traumatology and orthopedics N.N. Priorova Ministry of Health of Russia
Email: sergey.stoyukhin@gmail.com
doctor of medical Sciences, Professor
Russian Federation, MoscowYa. G. Gudushauri
National medical researchcenter for traumatology and orthopedics N.N. Priorova Ministry of Health of Russia
Email: sergey.stoyukhin@gmail.com
doctor of medical Sciences, Md
Russian Federation, MoscowS. E. Solod
National medical researchcenter for traumatology and orthopedics N.N. Priorova Ministry of Health of Russia
Email: sergey.stoyukhin@gmail.com
doctor of medical Sciences
Russian Federation, MoscowReferences
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- Judet R., Judet J., Letournel E. Fractures of the acetabulum: Classification and surgical approaches for open reduction. J. Bone Joint Surg. Am. 1964;8(46-A): 1615-75.
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Supplementary files
Supplementary Files
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JATS XML
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Fig. 1. Ileopectineal line on AP pelvic X-ray and on schematic pelvis.
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Fig. 2. Ileoischial line on AP pelvic X-ray and on schematic pelvis.
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Fig. 3. Acetabular roof on AP pelvic X-ray and on schematic pelvis.
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Fig. 4. Teardrop line on AP pelvic X-ray and on schematic pelvis.
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Fig. 5. Posterior wall brim on AP pelvic X-ray and on schematic pelvis.
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Fig. 6. Anterior wall brim on AP pelvic X-ray and on schematic pelvis.
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Fig. 7. Intact obturatot foramen on AP pelvic X-ray and on schematic pelvis.
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Fig. 8. Shenton line on AP pelvic X-ray and on schematic pelvis.
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Fig. 9. Anterior column brim on inlet pelvic X-ray and on schematic pelvis.
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Fig. 10. Posterior column brim on inlet pelvic X-ray and on schematic pelvis.
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Fig. 11. Schematic view of obturetor oblique and iliac oblique X-ray made with beam deviation.
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Fig. 12. АР Pelvic X-ray of patient with suspected acetabular fracture.
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Fig. 13. Iliac oblique view made CITO method. Arrows shows fracture lines crossing acetabulum.
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Fig. 14. АР pelvic X-ray of patient with acetabular fracture.
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Fig. 15. Obturator oblique view made with CITO method. Arrows shows separated posterior wall fragment.
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Fig. 16. Simple acetabuar fractures according to R. Judet and E. Letournel aclassification.
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Fig. 17. Complex acetabuar fractures according to R. Judet and E. Letournel aclassification.
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Fig. 18. Reference lines colours on X-rays.
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Fig. 19. First step of posterior wall fracture diagnostic.
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Fig. 20. Second step of posterior wall fracture diagnostic.
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Fig. 21. Posterior wall fracture verification on obturetor oblique view.
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Fig. 22. First step of anterior wall fracture diagnostic.
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Fig. 23. Second step of anterior wall fracture diagnostic.
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Fig. 24. а — intact reference lines; b — combination of reference lines.
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Fig. 25. Final diagnostic and verification of anterior wall fracture.
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Fig. 26. First step of posterior column fracture diagnostic.
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Fig. 27. Second step of posterior column fracture diagnostic.
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Fig. 28. Verification of posterior column fracture.
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Fig. 29. Obturetor oblique view.
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Fig. 30. First step of anterior column fracture diagnostic.
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Fig. 31. Third step of anterior column fracture diagnostic.
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Fig. 32. First step of transverse fracture diagnostic.
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Fig. 33. Second step of transverse fracture diagnostic.
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Fig. 34. Verification of transverse fracture.
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