电邮这篇文章 Express diagnostic of acetabular fractures. Part I. X-ray associated anatomy, simple fractures diagnostic algorithm (part I)
- 作者: Stoyukhin S.S.1, Lazarev A.F.2, Gudushauri Y.G.2, Solod S.E.2
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隶属关系:
- “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
- 期: 卷 26, 编号 3 (2019)
- 页面: 37-48
- 栏目: Reviews
- URL: https://journal-vniispk.ru/0869-8678/article/view/47191
- DOI: https://doi.org/10.17116/vto201903137
- ID: 47191
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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.
作者简介
S. Stoyukhin
“City clinical hospital No. 15. O. M. Filatov” Department of health of Moscow
编辑信件的主要联系方式.
Email: sergey.stoyukhin@gmail.com
PHd, MD, traumatologist-orthopedist
俄罗斯联邦, MoscowA. 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
俄罗斯联邦, MoscowYa. 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
俄罗斯联邦, MoscowS. 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
俄罗斯联邦, Moscow参考
- Moliere S., Dosch J.C., Bierry G. Pelvic, acetabular and hip fractures: What the surgeon should expect from the radiologist. Diagn Interv Imaging. 2016 Jul-Aug; 97(7-8):709-23.
- Mauffrey C., Stacey S., York P.J., Ziran B.H., Archdeacon M. T. Radiographic Evaluation of Acetabular Fractures: Review and Update on Methodology. J Am Acad Orthop Surg. 2018 Feb 1; 26(3):83-93.
- Анкин A.H., Анкин H.A. Повреждения таза и переломы вертлужной впадины. Киев: Издательство «книга плюс»,2007. [Ankin A.N., Ankin N.A. Povrezhdeniya taza i perelomy vertluzhnoj vpadiny. Kiev: Izdatel’stvo «kniga plyus»; 2007. (In Russ.)].
- 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.
- Lawrence D.A., Menn K., Baumgaertner M., et al. Acetabular fractures: anatomic and clinical considerations. AJR Am J Roentgenol. 2013 Sep; 201(3):425-36.
- Черкес-Заде Д.И. Лечение повреждений таза и их последствий. М.: Медицина,2006. [Cherkes-Zade D.I. Lechenie povrezhdenij taza i ih posledstvij. M.: Medicina,2006. (In Russ.)].
- Лазарев А.Ф. Оперативное лечение повреждений таза: Дис.... д-ра мед. наук. М.,1992. [Lazarev А.F. Operativnoe lechenie povrezhdenij taza: Dis.... d-ra med. nauk. M.,1992. (In Russ.)].
- Scheinfeld M.H., Dym A.A., Spektor M., et al. Acetabular fractures: what radiologists should know and how 3D CT can aid classification. Radiographics. 2015 Mar-Apr; 35(2):555-77.
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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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