Ver el código de «Acetabular pelvic fractures»

==Background==
*Fractures usually occur when head of femur forced into acetabulum
*Obvious when displaced, subtle non-displaced

{{Pelvic fracture types}}

===Anatomy===
[[File:Gray235.png|thumb|Anatomy of the acetabulum.]]
*Anterior column-anterior acetabulum to pubic ramus
*Posterior column- posterior acetabulum to ischial ramus
*Anterior and posterior columns merge to form acetabular dome= weight bearing portion
**Fractures involving acetabular dome require operative fixation

==Clinical Features==
*[[Pelvic pain]] after trauma (low energy for elderly, high energy for young)

==Differential Diagnosis==
{{Hip pain DDX}}

==Evaluation==
===Radiographically===
[[File:Acetabularfx.png|thumb|alt=Acetabular fracture (red arrow)|Right acetabular fracture (arrow)]]
[[File:Acetabular Fracture CT.png|thumb|Axial CT image (viewed on bone windows) of a complex comminuted left acetabular fracture involving both anterior and posterior columns.]]
*Consider obtaining AP, Judet, and inlet/outlet films
*Iliopubic line extends from ilium to superior pubic ramus
*Ilioischial line- extends from ilium to ischial ramus forming radiographic teardrop, "U" shaped, on AP pelvis
*Quadrilateral plate forms medial wall of acetabulum

===Fractures Types===
[[File:Anterior fractures.jpg|thumb|(Left) Anterior wall fracture, (right) anterior column fracture]]
[[File:Posterior wall-column fracture.jpg|thumb|(Left) Posterior wall fracture, (right) posterior column fracture]]
[[File:Transverse T shaped fractures.jpg|thumb|(Left) Posterior wall transverse fracture, (right) T-shaped fracture]]

*Anterior column
*Posterior column
*Transverse
*T or Y-shaped
*Posterior rim
*Anterior Wall

==Management==
*Early ortho consultation and hospital admission is indicated for all

==Disposition==
*Admission

==See Also==
*[[Pelvic fractures]]

==References==
[[Category:Orthopedics]]