Pediatric MSK Pelvis – 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.
CA0555-Pediatric MSK Pelvis – CT
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CA0555-Pediatric MSK Pelvis – CT
Case ReportHistory
Exam
Prior Study
Findings
Findings
Right acetabular posterior column fracture. Widening of the ilioischial (posterior flange) and ischiopubic (vertical flange) portions of the right triradiate cartilage. Fracture of the right inferior pubic ramus at the junction with the pubic body. There is 1.0 cm of inferior displacement and 0.5 cm of posterior displacement of the isolated posterior column fragment. The fracture involves the weightbearing dome of the acetabulum. No intra-articular bodies identified within the right hip. Hip joint alignment is otherwise maintained. A small right hip joint effusion is present.
Thin sliver of density along the right lateral aspect of the sacrum, adjacent to the sacroiliac joints, consistent with avulsion injury. There is widening of the right sacroiliac joint. There is superior subluxation of the right iliac bone with respect to the sacrum.
Left L5 and right L4 transverse process fractures.
Fracture along the right iliac crest anteriorly.
Comminuted fracture of the distal left femoral diaphysis, incompletely assessed.
There is hematoma along the right pelvic sidewall which demonstrates mass effect on the bladder. Evaluation for active contrast extravasation is precluded in the absence of IV contrast material.
There is contrast material within the bladder and ureters from prior contrast-enhanced examination
Impression
Pelvic ring injury with a vertical shear component. Anterior ring injuries include a right inferior pubic ramus fracture and a right posterior column acetabular fracture. Posterior ring injuries include an avulsion fracture of the right lateral sacrum, widening and superior subluxation of the right sacroiliac joint, and transverse process fractures.
Fracture along the anterior right iliac crest.
Comminuted fracture of the distal left femoral diaphysis, incompletely characterized.
Extensive hematoma along the right pelvic sidewall with mass effect on the bladder.
