Acetabular fractures

What radiologists should know and how 3D CT can Aid Classification

Meir H. Scheinfeld, Akiva A. Dym, Michael Spektor, Laura L. Avery, R. Joshua Dym, Derek F. Amanatullah

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Correct recognition, description, and classification of acetabular fractures is essential for efficient patient triage and treatment. Acetabular fractures may result from high-energy trauma or low-energy trauma in the elderly. The most widely used acetabular fracture classification system among radiologists and orthopedic surgeons is the system of Judet and Letournel, which includes five elementary (or elemental) and five associated fractures. The elementary fractures are anterior wall, posterior wall, anterior column, posterior column, and transverse. The associated fractures are all combinations or partial combinations of the elementary fractures and include transverse with posterior wall, T-shaped, associated both column, anterior column or wall with posterior hemitransverse, and posterior column with posterior wall. The most unique fracture is the associated both column fracture, which completely dissociates the acetabular articular surface from the sciatic buttress. Accurate categorization of acetabular fractures is challenging because of the complex three-dimensional (3D) anatomy of the pelvis, the rarity of certain acetabular fracture variants, and confusing nomenclature. Comparing a 3D image of the fractured acetabulum with a standard diagram containing the 10 Judet and Letournel categories of acetabular fracture and using a flowchart algorithm are effective ways of arriving at the correct fracture classification. Online supplemental material is available for this article.

Original languageEnglish (US)
Pages (from-to)555-577
Number of pages23
JournalRadiographics
Volume35
Issue number2
DOIs
StatePublished - 2015

Fingerprint

Software Design
Acetabulum
Triage
Wounds and Injuries
Pelvis
Terminology
Anatomy
Joints
Radiologists
Therapeutics
Orthopedic Surgeons

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Scheinfeld, M. H., Dym, A. A., Spektor, M., Avery, L. L., Joshua Dym, R., & Amanatullah, D. F. (2015). Acetabular fractures: What radiologists should know and how 3D CT can Aid Classification. Radiographics, 35(2), 555-577. https://doi.org/10.1148/rg.352140098

Acetabular fractures : What radiologists should know and how 3D CT can Aid Classification. / Scheinfeld, Meir H.; Dym, Akiva A.; Spektor, Michael; Avery, Laura L.; Joshua Dym, R.; Amanatullah, Derek F.

In: Radiographics, Vol. 35, No. 2, 2015, p. 555-577.

Research output: Contribution to journalArticle

Scheinfeld, MH, Dym, AA, Spektor, M, Avery, LL, Joshua Dym, R & Amanatullah, DF 2015, 'Acetabular fractures: What radiologists should know and how 3D CT can Aid Classification', Radiographics, vol. 35, no. 2, pp. 555-577. https://doi.org/10.1148/rg.352140098
Scheinfeld, Meir H. ; Dym, Akiva A. ; Spektor, Michael ; Avery, Laura L. ; Joshua Dym, R. ; Amanatullah, Derek F. / Acetabular fractures : What radiologists should know and how 3D CT can Aid Classification. In: Radiographics. 2015 ; Vol. 35, No. 2. pp. 555-577.
@article{77daba57de9341f38c6326bc0ca3382d,
title = "Acetabular fractures: What radiologists should know and how 3D CT can Aid Classification",
abstract = "Correct recognition, description, and classification of acetabular fractures is essential for efficient patient triage and treatment. Acetabular fractures may result from high-energy trauma or low-energy trauma in the elderly. The most widely used acetabular fracture classification system among radiologists and orthopedic surgeons is the system of Judet and Letournel, which includes five elementary (or elemental) and five associated fractures. The elementary fractures are anterior wall, posterior wall, anterior column, posterior column, and transverse. The associated fractures are all combinations or partial combinations of the elementary fractures and include transverse with posterior wall, T-shaped, associated both column, anterior column or wall with posterior hemitransverse, and posterior column with posterior wall. The most unique fracture is the associated both column fracture, which completely dissociates the acetabular articular surface from the sciatic buttress. Accurate categorization of acetabular fractures is challenging because of the complex three-dimensional (3D) anatomy of the pelvis, the rarity of certain acetabular fracture variants, and confusing nomenclature. Comparing a 3D image of the fractured acetabulum with a standard diagram containing the 10 Judet and Letournel categories of acetabular fracture and using a flowchart algorithm are effective ways of arriving at the correct fracture classification. Online supplemental material is available for this article.",
author = "Scheinfeld, {Meir H.} and Dym, {Akiva A.} and Michael Spektor and Avery, {Laura L.} and {Joshua Dym}, R. and Amanatullah, {Derek F.}",
year = "2015",
doi = "10.1148/rg.352140098",
language = "English (US)",
volume = "35",
pages = "555--577",
journal = "Radiographics",
issn = "0271-5333",
publisher = "Radiological Society of North America Inc.",
number = "2",

}

TY - JOUR

T1 - Acetabular fractures

T2 - What radiologists should know and how 3D CT can Aid Classification

AU - Scheinfeld, Meir H.

AU - Dym, Akiva A.

AU - Spektor, Michael

AU - Avery, Laura L.

AU - Joshua Dym, R.

AU - Amanatullah, Derek F.

PY - 2015

Y1 - 2015

N2 - Correct recognition, description, and classification of acetabular fractures is essential for efficient patient triage and treatment. Acetabular fractures may result from high-energy trauma or low-energy trauma in the elderly. The most widely used acetabular fracture classification system among radiologists and orthopedic surgeons is the system of Judet and Letournel, which includes five elementary (or elemental) and five associated fractures. The elementary fractures are anterior wall, posterior wall, anterior column, posterior column, and transverse. The associated fractures are all combinations or partial combinations of the elementary fractures and include transverse with posterior wall, T-shaped, associated both column, anterior column or wall with posterior hemitransverse, and posterior column with posterior wall. The most unique fracture is the associated both column fracture, which completely dissociates the acetabular articular surface from the sciatic buttress. Accurate categorization of acetabular fractures is challenging because of the complex three-dimensional (3D) anatomy of the pelvis, the rarity of certain acetabular fracture variants, and confusing nomenclature. Comparing a 3D image of the fractured acetabulum with a standard diagram containing the 10 Judet and Letournel categories of acetabular fracture and using a flowchart algorithm are effective ways of arriving at the correct fracture classification. Online supplemental material is available for this article.

AB - Correct recognition, description, and classification of acetabular fractures is essential for efficient patient triage and treatment. Acetabular fractures may result from high-energy trauma or low-energy trauma in the elderly. The most widely used acetabular fracture classification system among radiologists and orthopedic surgeons is the system of Judet and Letournel, which includes five elementary (or elemental) and five associated fractures. The elementary fractures are anterior wall, posterior wall, anterior column, posterior column, and transverse. The associated fractures are all combinations or partial combinations of the elementary fractures and include transverse with posterior wall, T-shaped, associated both column, anterior column or wall with posterior hemitransverse, and posterior column with posterior wall. The most unique fracture is the associated both column fracture, which completely dissociates the acetabular articular surface from the sciatic buttress. Accurate categorization of acetabular fractures is challenging because of the complex three-dimensional (3D) anatomy of the pelvis, the rarity of certain acetabular fracture variants, and confusing nomenclature. Comparing a 3D image of the fractured acetabulum with a standard diagram containing the 10 Judet and Letournel categories of acetabular fracture and using a flowchart algorithm are effective ways of arriving at the correct fracture classification. Online supplemental material is available for this article.

UR - http://www.scopus.com/inward/record.url?scp=84924662900&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84924662900&partnerID=8YFLogxK

U2 - 10.1148/rg.352140098

DO - 10.1148/rg.352140098

M3 - Article

VL - 35

SP - 555

EP - 577

JO - Radiographics

JF - Radiographics

SN - 0271-5333

IS - 2

ER -