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Radiology Rounds: 25 year old man status post motor vehicle accident

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Radiology Rounds: 25 year old man status post motor vehicle accident

Published in: Health & Medicine, Education
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Radiology Rounds: 25 year old man status post motor vehicle accident

  1. 1. 25 year old s/p MVA with left hip pain Laura Avery, MD Massachusetts General Hospital Harvard Medical School Boston, MA, USA
  2. 3. Did you follow your lines?
  3. 4. i Iliopectineal Ant column Ilioischial post column Anterio/med wall Posterior wall
  4. 5. Posterior wall Anterior/medial wall Fracture Where?
  5. 16. Posterior Acetabular Wall Fractures <ul><li>most common type of acetabular frx (upto 50% of acetabular fractures will contain a posterior wall fragment); </li></ul><ul><li>posterior wall frxs involve the posterior articular surfaces </li></ul><ul><li>frx of posterior rim & posterior column may be seen in MVA from posteriorly directed dashboard impact; Transient posterior dislocations are common </li></ul>
  6. 18. Follow up study with Judet views
  7. 20. Posterior Oblique (iliac oblique) of Left Hip Best view of anterior wall and posterior column Anterior wall
  8. 21. Anterior oblique (obturator view) Shows anterior column and posterior wall Fracture Posterior wall Anterior column

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