Curriculum and Recommendations for Study
Pelvis and Hip: John H. Harris, Jr. MD, DSc
Case Illustration Editor: Manickam Kumaravel, MD

Pelvis Fractures of isolated bones of the pelvis that do not involve the pelvic ring iliac wing (Duvrney) sacrum coccyx Avulsion fractures: ant. sup. iliac crest apoph. - sartorius m ant. inf. iliac crest apoph. - rectus femoris m ischial tuberosity lesser troch. apoph. - iliopsoas Pelvic ring disruption. Disruption, ie., fracture or diastasis at two or more sites of the anterior and posterior pelvic arcs. lateral compression anteroposterior compression diffuse: open-book pelvic ring disruption vertical shear Insufficiency fractures / Stress fractures anterior pelvic arch sacrum Acetabular fractures - General classification: Judet and Letournel, 10 types Posterior Wall Anterior Wall posterior column (most common) rim anterior column transverse ("T") Complex Types: Both Column T-shaped Transverse with Posterior Wall Posterior column with posterior wall Anterior column with posterior hemitranverse

Hip Dislocation Posterior or posterosuperior Anterior (obturator) Central Proximal femur Slipped capital femoral epiphysis (SCFE) Salter-Harris physeal injuries Fractures Head - usually associated with hip dislocation Neck subcapital transcervical basicervical Intertrochanteric 2 - part (proximal/distal fragments) 3 - part (prox./distal + 1 trochanter) 4 - part (prox./distal + each trochanter) subtrochanteric isolated fracture, greater trochanter Avascular necrosis Stage I - radiograph negative Stage II - inhomogeneity of femoral head Stage III - Progressive inhomogeneity; trabecular disruption; "crescent" sign; subcondral cortical disruption. Stage IV - fragmentation of head

Suggested Readings:

Berquist TH, Coventry MB. The Pelvis and Hip. (In) Imaging of Orthopedic Trauma, 2nd ed.

Berquist TH, ed. Raven Press, 1992. Hip: 260-269; Pelvis: 228-240; Acetabulum; 240-246; Proximal femur: 269-272; 285-289.

Pelvis, acetabulum and hips. (In) The Radiology of Emergency Medicine. Harris JH, Harris WH,(eds); Williams & Wilkins, Baltimore; 2000, pp 725-814.

Young JWR: Fractures of the pelvis. (In) Imaging in Trauma and Critical Care, Mirvis SE & Young JWR (eds); Williams & Wilkins; Baltimore, MD; 1992, pp 380-420

Daffner RH: Pelvic trauma. (In) Trauma Radiology, McCort JJ & Mindelzun RE (eds); Churchill Livingstone; New York; 1990, pp 339-380

(In) Radiology of Skeletal Trauma (2nd Ed), Rogers LF (ed); Churchill Livingstone, New York; 1992; Fractures of the acetabulum, pp 1051-1074

Routt ML: Pelvic Fractures. & Mayo KA: Hip Joint: Acetabular Fractures. (In) Orthopaedic Trauma Protocols, Hansen ST & Swiontkowski MF (eds); Raven Press, New York, 1993; pp 225-236 & 243-254.