Proximal femur fracture, CT
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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.
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Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
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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.
CA0550-Proximal femur fracture, CT

CA0550-Proximal femur fracture, CT
Case ReportHistory
Exam
Prior Study
Findings
Findings
Comminuted right posterior wall acetabular fracture. The fracture is centered at the posterosuperior aspect of the acetabular wall. Transverse width of the fracture fragments is less than 20% of the entire transverse width of the posterior acetabular wall. Fracture fragments are posteriorly displaced and angulated. No marginal impaction. Multiple intra-articular osseous fragments as discussed below. The fracture fragment reaches the weightbearing acetabular dome.
Comminuted fracture of the inferior aspect of the femoral head. Fracture remains inferior to the fovea capitis. The largest fragment measures 2.2 x 0.8 cm in axial dimension and is displaced along the anterior aspect of the femoral head/neck. Multiple other intra-articular bodies are present in the medial, inferior, and superior aspects of the joint. There is slight posterolateral subluxation of the right hip, due to the presence of intra-articular bodies.
There is hematoma about the fracture, including intramuscular hematoma within the right piriformis and gluteus minimus muscles.
Degenerative changes at the L5-S1 level.
Bladder is collapsed around a Foley catheter. Residual contrast material is present within the bladder.