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Nonunion of acetabular fractures: evaluation with interactive multiplanar CT
J E Kuhlman1, E K Fishman, D R Ney
1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Journal of Orthopaedic Trauma
|January 1, 1989
Summary
Acetabular nonunions are rare and difficult to detect. Advanced computed tomography (CT) imaging with a novel 2D/3D orthotool aids in diagnosing these challenging fractures.
Area of Science:
- Orthopedic Surgery
- Radiology
- Medical Imaging
Background:
- Nonunions of acetabular fractures are infrequently documented in medical literature.
- Conventional radiography poses challenges for accurate acetabular imaging, potentially leading to missed diagnoses.
Observation:
- This study presents two cases of acetabular fracture nonunion.
- Diagnosis was achieved using computed tomography (CT) and a specialized 2D/3D orthotool.
Findings:
- The interactive 2D/3D orthotool enables dynamic viewing and correlation of 2D multiplanar images with 3D pelvic reconstructions.
- This tool is particularly effective for visualizing complex, off-axis fractures, such as those in the acetabular dome.
Implications:
- The described imaging technique enhances the diagnostic capability for rare acetabular nonunions.
- Improved detection of acetabular nonunions can lead to more timely and effective patient treatment.