电邮这篇文章 Actual features of express diagnostic of acetabular fractures. Part III. Atypical fractures diagnostic algorithm. Associated local injuries
- 作者: Stoyukhin S.S.1, Lazarev A.F.2, Gudushauri Y.G.2
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隶属关系:
- City clinical hospital No. 15. O.M. Filatov
- National medical research center for traumatology and orthopedics N.N. Priorova
- 期: 卷 27, 编号 1 (2020)
- 页面: 91-97
- 栏目: Articles
- URL: https://journal-vniispk.ru/0869-8678/article/view/25890
- DOI: https://doi.org/10.17816/vto202027191-97
- ID: 25890
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Authors shows atypical fracture patterns and rational algorithm for express diagnostic of this fractures. Associated local injuries are described.
作者简介
S. Stoyukhin
City clinical hospital No. 15. O.M. Filatov
编辑信件的主要联系方式.
Email: sergey.stoyukhin@gmail.com
俄罗斯联邦, Moscow
A. Lazarev
National medical research center for traumatology and orthopedics N.N. Priorova
Email: sergey.stoyukhin@gmail.com
俄罗斯联邦, Moscow
Yu. Gudushauri
National medical research center for traumatology and orthopedics N.N. Priorova
Email: sergey.stoyukhin@gmail.com
俄罗斯联邦, Moscow
参考
- Judet R, Judet J, Letournel E. Fractures of the acetabulum: Classification and surgical approaches for open reduction. J BoneJointSurg [Am]. 1964;46А(8):1615-1675.
- Beaule PE, Dorey FJ, Matta JM. Letournel classification for acetabular fractures assessment of interobserver and intraob- serverreliability J Bone Joint Surg [Am]. 2003;85-A(7):1704-1709.
- Школьников Л.Г., Селиванов В.П., Цодыкс В.М. Повреждения таза и тазовых органов. М.: Медицина; 1966.
- Лазарев А.Ф. Оперативное лечение повреждений таза: Дис. д-ра мед. наук. М. 1992.
- Anglen JO, Burd TA, Hendricks KJ, Harrison P. The «Gull Sign»: a harbinger of failure for internal fixation of geriatric acetabular fractures. JO rthop Trauma. 2003;17(9):625-634.
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Fig. 1.a - plain radiography of the pelvis upon admission; b - the first stage of determining the atypical T-shaped fracture associated with a fracture of the posterior wall; c - the second stage of determining the atypical T-shaped fracture associated with a fracture of the posterior wall; c - the final definition of an atypical T-shaped fracture associated with a fracture of the posterior wall; d, e, f, g, h - detailing of an atypical T-shaped fracture associated with a fracture of the posterior wall using targeted radiographs in the iliac and obturator projections and computed tomography.
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Fig. 2.a - plain radiography of the pelvis upon admission; b - the first stage of determining an atypical fracture of the quadrilateral plate; c - the final definition of an atypical fracture of the quadrilateral plate; d, e - detailing the fracture of the four-sided plate using sighting radiographs in the obturator and iliac projections.
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Fig. 3.a - plain radiography of the pelvis upon admission; b - the first stage of determining an atypical extra-articular fracture of the anterior column; c - the second stage of determining the atypical extra-articular fracture of the anterior column; d, e, f, g - verification of an extra-articular fracture of the anterior column using sighting radiographs in the oblique-iliac and oblique-obturator projections and computed tomography.
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Fig. 4.a, b - fracture of the acetabulum on the left; C - comminuted character of the fracture of the posterior wall of the acetabulum.
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Fig. 5. Impact of the superior-medial parts of the sursil (Gull-sign).
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Fig. 6.a-d. The presence of shadows of bone density in the projection of the joint space (intra-articular fragments); c, d - verification of the presence of intra-articular fragments according to CT data.
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Fig. 7. Impressional fracture of the head in combination with a fracture of the posterior column (a, b).
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Fig. 8. Impressional fracture of the femoral head according to CT data in the absence of signs of head damage according to X-ray data (a, b).
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