Acetabular fractures: A Stepwise approach to identification and classification on 2D computed tomography

Bodanapally, Uttam K.; Dattwyler, Matthew

doi:10.37549/ar2583

Cited by 4 publications

(1 citation statement)

References 23 publications

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“…Flow chart shows step-wise approach for decision making to reach correct identification of acetabular fracture type (13). Moreover, they were used to identify the cut off the prevalence adjusted negative and positive values for the presence of the disease.…”

Section: Mdct Scanning Protocolmentioning

confidence: 99%

Role of MDCT in Detection, Classification and Follow up of Acetabular Fractures

eisa

Ahmed

abdelhady

et al. 2023

Benha Medical Journal

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Background: Correct recognition, description, and classification of acetabular fractures are essential for efficient patient triage and treatment. The most widely used is the system of Judet and Letournel, which includes five elementary and five associated fractures. The aim of the work is to elucidate the role of MDCT in detection, classification and follow up of acetabular fractures. Patients and methods: 30 patients having acetabular fractures. Ages ranged between 20 and 75 years (mean age 45); there were 25 males and 5 females. Observational retrospective study of the previous CT scans done for the acetabular fractures. Results: In our study, 16 of patients (53.3%), were with left sided acetabular fracture. Eight of them were with right sided acetabular fracture (26.7%) and Six of them with bilateral acetabular fractures (20%). The common cause of acetabular fracture was Road traffic accidents (80%), then falling from height (20%). The most common types of fracture were posterior wall and both column (20%) according to C.T. According to AP conventional radiography; six cases of acetabular fracture were diagnosed, the other twenty four cases were accurately diagnosed by C.T. Conclusion: Radiography Technically easy, quick, portable, not degraded by streak artifact, may be technically suboptimal because of patient condition and body habitus, not as sensitive as CT for depicting fractures. SO, all cases with Acetabular fractures should be evaluated by means of trans-axial CT and additional MPR. The use of appropriate standard MPR views shortens the time required to produce the reformats and thereby maximizes the benefit gained.

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Section: Mdct Scanning Protocolmentioning

confidence: 99%

Role of MDCT in Detection, Classification and Follow up of Acetabular Fractures

eisa

Ahmed

abdelhady

et al. 2023

Benha Medical Journal

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The Bony Pelvis

Kanesa-thasan,

Greenfield

2023

Trauma Computed Tomography

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Algorithms in acetabular fracture classifications

Gänsslen,

Tonetti,

Pohlemann

2024

Arch Orthop Trauma Surg

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Acetabular fractures are still challenging fractures. Fracture classification is the basis for understanding these injuries and to gain treatment and to choose a fracture type-based treatment concept. Using a systematic step-wise concept of fracture analysis, based on specific radiographic lines on standard X-rays allow even less experienced surgeons to get a correct classification of the elementary and associated fracture types of Letournel’s classification. Algorithmic analysis of the iliopectineal line, (anterior column involvement), ilioischial line (posterior column involvement), presence of a posterior wall fragment, fracture lines involving the iliac wing and inferior ramus, and the spur sign (representing associated both column fractures) allow for approximately 80–90% correct classifications using standard X-rays when integrating these lines into an algorithm. Especially, T-shaped fractures, ABC and ACPHT fractures may be difficult to classify. Thus, advanced imaging, such as CT scans with multiplanar reconstruction and 3D reconstructions is additionally recommended.

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Acetabular fractures: A Stepwise approach to identification and classification on 2D computed tomography

Cited by 4 publications

References 23 publications

Role of MDCT in Detection, Classification and Follow up of Acetabular Fractures

Role of MDCT in Detection, Classification and Follow up of Acetabular Fractures

The Bony Pelvis

Algorithms in acetabular fracture classifications

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