Acetabular fracture - CT
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0518-Acetabular fracture - CT
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CA0518-Acetabular fracture - CT
Case ReportHistory
Exam
Prior Study
Findings
Findings
Right T-shaped acetabular fracture. There is a fracture component beginning at the greater sciatic notch, extending inferiorly through the posterior aspect of the weightbearing acetabular dome, and exiting through the ischial tuberosity. There is apex inferior angulation of this fragment such that there is 0.6 cm of articular surface incongruency at the weightbearing dome. Osseous fragments are present posterior to the posterior acetabular wall and within the posterior column fracture.
In addition, there is a nondisplaced transverse fracture which also courses through the weightbearing acetabular dome.
Small right hip joint effusion. Small intra-articular osseous fragment measuring 0.7 cm in the inferior aspect of the right hip joint. Additional small focus of mineralization superolaterally which may reflect additional intra-articular fragment.
There is hematoma along the right pelvic sidewall. Active extravasation cannot be assessed in the absence of IV contrast material.
Foley catheter in place.
Impression
Hematoma along the right pelvic sidewall. Active extravasation cannot be assessed in the absence of IV contrast material.
Recommendations
CT cystogram.
