25 year old s/p MVA with left hip pain Laura Avery, MD Massachusetts General Hospital Harvard Medical School Boston, MA, USA

Did you follow your lines?

i Iliopectineal Ant column Ilioischial post column Anterio/med wall Posterior wall

Posterior wall Anterior/medial wall Fracture Where?

Posterior Acetabular Wall Fractures most common type of acetabular frx (upto 50% of acetabular fractures will contain a posterior wall fragment); posterior wall frxs involve the posterior articular surfaces frx of posterior rim & posterior column may be seen in MVA from posteriorly directed dashboard impact; Transient posterior dislocations are common

most common type of acetabular frx (upto 50% of acetabular fractures will contain a posterior wall fragment);

posterior wall frxs involve the posterior articular surfaces

frx of posterior rim & posterior column may be seen in MVA from posteriorly directed dashboard impact; Transient posterior dislocations are common

Follow up study with Judet views

Posterior Oblique (iliac oblique) of Left Hip Best view of anterior wall and posterior column Anterior wall

Anterior oblique (obturator view) Shows anterior column and posterior wall Fracture Posterior wall Anterior column