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Elementary fracture Description Associated fractures Description Posterior wall: This is the most common variety of acetabular fracture. It typically occurs due to dashboard injury; when a person travelling in a vehicle involved in a head-on collision, the force applied over the flexed knee travels along the femur bone to the head of the femur, breaking the posterior wall of the acetabulum.
Figure 2: Posterior acetabular fracture in a 49-year-old woman presenting with hip pain after a fall. (a) Anteroposterior radiograph of the left hip shows a radiolucent line through the posterior acetabular wall (arrows). (b) Axial CT confirms the acetabular fracture (arrow). [1]
Posterior dislocations is when the femoral head lies posteriorly after dislocation. [5] It is the most common pattern of dislocation accounting for 90% of hip dislocations, [5] and those with an associated fracture are categorized by the Thompson and Epstein classification system, the Stewart and Milford classification system, and the Pipkin system (when associated with femoral head fractures).
The perforate acetabulum is a cup-shaped opening on each side of the pelvic girdle formed where the ischium, ilium, and pubis all meet, and into which the head of the femur inserts. [ 8 ] [ 9 ] The orientation and position of the acetabulum is one of the main morphological traits that caused dinosaurs to walk in an upright posture with their ...
The Thompson and Epstein classification is a system of categorizing posterior fracture/dislocations of the ... with a fracture of the acetabular floor V with a ...
In radiography the presence of a "crossover sign" is produced when the posterior wall of the acetabulum crosses the anterior wall before reaching the acetabular roof. It is a sign of acetabular retroversion and it has been linked with overcoverage and pincer impingement. Nevertheless, this sign has been described in 6% of the normal population.
In the United States acetabular labrum tears usually occur in the anterior or anterior-superior area, possibly due to a sudden change from labrum to acetabular cartilage. [2] The most common labrum tears in Japan are in the posterior region, likely due to the customary practice of sitting on the floor.
The Müller AO Classification of fractures is a system for classifying bone fractures initially published in 1987 [1] by the AO Foundation as a method of categorizing injuries according to therognosis of the patient's anatomical and functional outcome. "AO" is an initialism for the German "Arbeitsgemeinschaft für Osteosynthesefragen", the ...