الفهرس | Only 14 pages are availabe for public view |
Abstract Correct recognition, description, and classification of acetabular is essential for efficient patient triage and treatment. Acetabular fractures may result from high-energy trauma or low-energy trauma in the elderly. The most widely used acetabular fracture classification system among radiologists and orthopedic surgeons is the system of Judet and Letournel, which includes five elementary (or elemental) and five associated fractures. The elementary fractures are anterior wall, posterior wall, anterior column, posterior column, and transverse. The associated fractures are all combinations or partial combinations of the elementary fractures and include transverse with posterior wall, T-shaped, associated both column, anterior column or wall with posterior hemitransverse, and posterior column with posterior wall. Comparing a 3D image of the fractured acetabulum with a standard diagram containing the 10 Judet and Letournel categories of acetabular fracture and using a flowchart algorithm are effective ways of arriving at the correct fracture classification. Our study included thirty patients of variable ages diagnosed as acetabular fracture.following history taking & clinical assessment,x-ray examination, patients were subjected to MDCT examination. The techniques including coronal,sagittal,3D, reconstructions and volume rendering techniques. CT was especially useful in evaluation of the two-column fractures in which unique information concerning the configuration of the fracture, integrity of the acetabular dome and quadrilateral surface, and identification of the stable fragment was obtained. CT was also useful in determination of presence or absence of loose bodies in the joint and in evaluation of the femoral head and sacroiliac joint in all types of fracture. In our study, sixteen of patients(53.3%), were with left sided acetabular fracture. The common cause of acetabular fracture was Road traffic accidents (66.7%), then fall (20%) at last pedestrian (13.3%). The most common types of fracture were posterior wall and both column (20%) according to C.T. Accourding to AP conventional radiography, six cases of acetabular fracture were diagnosed ,the other twenty four cases were accurately diagnosed by C.T. |