ACETABULAR FRACTURE

Question 1

CAUSE

Answer 1

WHEN HEAD OF FEMUR IS DRIVEN INTO PELVIS
MAY BE DUE TO DASHBOARD INJURY
FALL FROM HEIGHT

Question 2

CLASSIFICATION

Answer 2

SIMPLE FRACTURE
TRANSVERSE FRACTURE
T TYPE FRACTURE INVOLVING 2 COLUMNS
BOTH COLUMN FRACTURE

Question 3

CLINICAL FEATURE

Answer 3

HISTORY OF FALL FROM HEIGHT
RTA
ASSOCIATED FEMUR FRACTURE , KNEE INJURY , FRACTURE OF CALCANEUM

Question 4

IMAGING

Answer 4

X RAY
CT SCAN

Question 5

X RAY

Answer 5

AP VIEW
OBTURATOR OBLIQUE VIEW
ILLIAC OBLIQUE VIEW
INLET VIEW

FEATURES =
DISCONTINUITY IN ILLIOPECTINEAL LINE
DISCONTINUITY IN ILLIO ISCHIAL LINE

Question 6

DEFINITIVE TREATMENT

Answer 6

NON OPERATIVE =
INDICATIONS- ROOF NOT AFFECTED , STABLE HIP, NO POSTERIOR WALL FRACTURE
CLOSED TRACTION UNDER GA - LONGITUDINAL AND LATERAL TRACTION FOR 6 TO 8 WEEKS
OPERATIVE TREATMENT =
UNSTABLE HIP , ROOF AFFECTED, POSTERIOR WALL FRACTURE
OPEN REDUCTION AND INTERNAL FIXATION

Question 6

TREATMENT

Answer 6

EMERGENCY TREATMENT =
TT OF SHOCK
REDUCE DISLOCATION - LONGITUNAL AND LATERAL TRACTION FOR 3 TO 4 DAYS

DEFINITIVE TREATMENT

Question 7

COMPLICATION

Answer 7

SCIATIC NERVE INJURY
AVN
OSTEOARTHRTIS
LOSS OF JOINT MOVEMENT