Background: Correct recognition, description, and classification of acetabular is essential for efficient patient triage and treatment. The most widely used is the system of Judet and Letournel, which includes five elementary and five associated fractures.
Aim: is to elucidate the role of MDCT in detection, classification and follow up of acetabular fractures.
Patient &method:
30 patients having acetabular fractures.Ages ranged between 20 and 75 years (mean age 45); there were 25 males and 5 females. Observational retrospective study of the previous CT scans done for the acetabular fractures.
Results:In our study, 16 of patients (53.3%), were with left sided acetabular fracture. 8 of them were with right sided acetabular fracture (26.7%) and 6 of them with bilateral acetabular fractures (20%).
The common cause of acetabular fracture was Road traffic accidents (80%), then falling from height (20%).
The most common types of fracture were posterior wall and both column (20%) according to C.T.
According to AP conventional radiography, 6 cases of acetabular fracture were diagnosed, the other twenty four cases were accurately diagnosed by C.T.
Conclusion:Radiography Technically easy, quick, portable, not degraded by, may be technically suboptimal because of patient condition and body habitus, not as sensitive as CT for depicting fractures.
SO, all cases with Acetabular fractures should be evaluated by means of trans-axial CT and additional MPR. The use of appropriate standard MPR views shortens the time required to produce the reformats and thereby maximizes the benefit gained.