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Diagn Interv Imaging · Jul 2016
Pelvic, acetabular and hip fractures: What the surgeon should expect from the radiologist.
- S Molière, J-C Dosch, and G Bierry.
- Department of imaging 2, hôpital de Hautepierre, avenue Molière, 67000 Strasbourg, France. Electronic address: sebastien.moliere@chru-strasbourg.fr.
- Diagn Interv Imaging. 2016 Jul 1; 97 (7-8): 709-23.
AbstractPelvic ring fractures when caused by trauma, either violent or in demineralized bone, generally consist of injuries in both the anterior (pubic symphysis and rami) and posterior (iliac wing, sacrum, sacroiliac joint) portions. Injury classifications are based on injury mechanism and pelvic stability, and are used to determine treatment. Acetabular fractures, associated or not to pelvic ring disruption, are classified on the basis of fracture line, into elementary fractures of the acetabular walls, columns and roof, and into complex fractures. Fractures of the proximal end of the femur occur often on demineralized bone following low-energy trauma. The fractures are categorized by anatomic location (neck, trochanter and subtrochanteric region) and degree of displacement. These variables determine the risk of osteonecrosis of the femoral head, which is the main complication of such fractures. Copyright © 2016 Editions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.
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