+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Standard radiographs and computed tomographic scan underestimating pediatric acetabular fracture after traumatic hip dislocation: report of 2 cases

Standard radiographs and computed tomographic scan underestimating pediatric acetabular fracture after traumatic hip dislocation: report of 2 cases

Journal of Orthopaedic Trauma 25(7): E68-E73

Posterior wall acetabular fractures are rare in the pediatric patient but require proper management to prevent significant complications. Plain radiographs and computed tomography scans are standard diagnostic imaging used with clinical examination of hip stability to determine if the injury requires open reduction and internal fixation. Two cases are presented of adolescent traumatic hip dislocations and posterior wall fractures in which radiography underestimated the extent of the posterior wall fracture. In one case, a magnetic resonance imaging study more clearly characterized the injury. Because the ossification of the posterior wall occurs throughout adolescence, magnetic resonance imaging may be a useful tool in characterizing these fractures and assisting with surgical planning.

(PDF emailed within 0-6 h: $19.90)

Accession: 055904117

Download citation: RISBibTeXText

PMID: 21577156

DOI: 10.1097/BOT.0b013e3181f9a7ba

Related references

Evaluation of Letournel and Judet classification of acetabular fracture with plain radiographs and three-dimensional computerized tomographic scan. Journal of Orthopaedic Surgery 8(1): 33-37, 2002

The Role of the Computed Tomographic Scan in the Diagnosis of Acetabular Fracture in the Immature Pelvis. Journal of Orthopaedic Trauma 33 Suppl 2: S32-S36, 2019

Pediatric hip dislocation with posterior wall acetabular fracture: a case report. Hss Journal 10(3): 280-285, 2014

Ipsilateral Traumatic Posterior Hip Dislocation, Posterior Wall and Transverse Acetabular Fracture with Trochanteric Fracture in an adult: Report of First Case. Journal of Orthopaedic Case Reports 3(4): 31-34, 2013

Indication for Computed Tomography Scan in Shoulder Instability: Sensitivity and Specificity of Standard Radiographs to Predict Bone Defects After Traumatic Anterior Glenohumeral Instability. Orthopaedic Journal of Sports Medicine 5(10): 2325967117733660, 2017

Central acetabular fracture-dislocation following electroconvulsive therapy: report of two similar cases. Journal of Trauma 41(2): 342-344, 1996

Fracture dislocation of the acetabular rim with dislocation of the hip and traumatic sciatic paralysis. Journal of the International College of Surgeons 13(5): 539-548, 1950

Bony landmarks on computed tomographic localizer radiographs to prescribe a reduced scan range in patients undergoing multidetector computed tomography for suspected urolithiasis. Journal of Computer Assisted Tomography 38(3): 404-407, 2014

Bilateral asymmetric traumatic hip dislocation with bilateral acetabular fracture: case report. Ulusal Travma Ve Acil Cerrahi Dergisi 18(4): 355-357, 2015

Delayed post-traumatic vertebral collapse (Kummell's disease): case report with serial radiographs, computed tomographic scans, and bone scans. Spine 18(9): 1236-1241, 1993

Location of acetabular deficiency and associated hip dislocation in neuromuscular hip dysplasia: three-dimensional computed tomographic analysis. Journal of Pediatric Orthopedics 17(2): 143-151, 1997

Large spontaneous intrahepatic arterioportal fistula demonstrated by rapid sequential computed tomographic scan. Report of two cases. Gastroenterology 88(2): 564-570, 1985

Asymmetrical bilateral traumatic fracture dislocation of the hip: a report of two cases. La Chirurgia Degli Organi di Movimento 92(2): 109-111, 2008

Interobserver agreement for Letournel acetabular fracture classification with multidetector CT: are standard Judet radiographs necessary?. Radiology 241(2): 386-391, 2006

Computed tomographic scan: it's not just about the fracture. Journal of Trauma and Acute Care Surgery 77(4): 604-607, 2015