The Orthobullets Podcast Foundations⎪Trauma⎪Acetabular Fractures
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Feb 28, 2025 Dive into the intricate world of acetabular fractures! Discover essential methods for diagnosis and treatment strategies vital for both orthopedic and emergency medicine professionals. Explore the fascinating anatomy and the latest imaging techniques that reveal the pelvic structure's complexity. Learn about the critical role of rehabilitation in recovery, including specific movements and weight-bearing techniques that can dramatically enhance outcomes. This is a must-listen for anyone in musculoskeletal care!
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Bimodal Distribution of Acetabular Fractures
- Acetabular fractures have a bimodal distribution, affecting younger patients with high-energy trauma.
- Older individuals experience them due to low-energy trauma, influenced by force vector, femoral head position, and bone quality.
Acetabular Column Theory
- The acetabulum, connected to the sacrum via the sciatic buttress, is supported by two columns of bone forming an inverted Y.
- These columns, anterior and posterior, consist of specific bone structures like the quadrilateral surface and the anterior ilium.
Radiographic Evaluation of Acetabular Fractures
- Use AP pelvis and Judet views (obturator and iliac oblique) for initial radiographic assessment.
- Look for landmarks like the iliopectineal line, ilioischial line, teardrop, and Shenton's line, along with goal and spur signs.