What position projection or method is useful in diagnosing fractures of the acetabulum?

What position projection or method is useful in diagnosing fractures of the acetabulum?

2. Anteroposterior radiograph (AP pelvic radiograph) An AP view of the pelvis is required for all patients with a suspected acetabular fracture. The radiograph is obtained with the patient in the supine position and is centered on the symphysis pubis.

Which radiographic method is useful to diagnose fractures of the acetabulum?

Fractures of the acetabulum are usually diagnosed by conventional radiography, axial CT, and three-dimensional CT (3D CT). Whole-body MDCT is the most commonly performed technique evaluating patients with polytrauma.

How do you get the Judet view?

1. patient is supine.
2. the affected side is rotated roughly 45° anterior, generally aided by a 45° sponge.
3. ensure the patient is central on the table and at no risk of over rolling.

What is femoral head fracture?

Fracture of the femoral head is a severe, relatively uncommon injury; typically, it occurs following traumatic posterior dislocation of the hip joint. The Pipkin classification is the most commonly used classification system.

What are Judet views for?

The oblique pelvis otherwise known as the Judet view is an additional projection to the pelvic series when there is suspicion of an acetabular fracture.

What is a Zanca view?

The Zanca view is a specialized projection of the acromioclavicular joint (ACJ), which will better demonstrate the acromioclavicular joint free from superimposition and aid in the assessment of distal osteophytes.

How is the diagnosis of an acetabular fracture made?

Diagnosis can be made radiographically with dedicated pelvis radiographs (including Judet views) but frequently require CT pelvis for surgical planning. Treatment can be nonoperative for non-displaced fractures but displaced injuries require anatomic open reduction and internal fixation to minimize development of post-traumatic osteoarthritis.

What is the purpose of a hip x-ray?

The hip X-ray is used primarily to demonstrate/exclude a fracture. Hip X-rays are also frequently opted for as initial test in chronic hip symptoms, e.g. osteoarthritis. Technique. The hip joint can be imaged under various angles. A standard hip X-ray examination generally includes an anteroposterior (PA) image and a lateral image.

Where does an axiolateral hip x-ray go?

Technique for axiolateral hip X-ray. The hip is abducted (about 45˚) with the knee in flexion (about 30˚- 45˚). The foot can rest on the inside of the contralateral knee (fig. 4). The X-rays pass through the hip joint from medial to lateral. This technique can also be used to image both hip joints; the so-called Lauenstein image (= frog-leg image).

How are acetabular fractures classified by Judet and Letournel?

The Judet and Letournel Classification of Acetabular Fractures. Fractures are classified into five elementary fractures, which divide the innominate bone and acetabulum into two major fragments, and five associated fractures, which divide the innominate bone and acetabulum into three major fragments.