Fractures of the Pelvis and Acetabulum by Marvin Tile

By Marvin Tile

The 3rd version of this definitive paintings is broadened to incorporate the following iteration of trauma experts. With 50 participants, new options are coated with a spotlight on minimally invasive systems. The textual content is split into 3 sections: basic elements, disruption of the pelvic ring, and fractures of the acetabulum. New beneficial properties contain present percutaneous suggestions and an accompanying CD-ROM that includes extra instances.

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Extra info for Fractures of the Pelvis and Acetabulum

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This further deepens the acetabulum. The gluteal mass muscles hide the lateral aspect of the acetabulum and makes access to the joint extremely challenging. Deep to the muscles lie the major blood supply to the acetabulum (see Chapter 28). Anteriorly, the femoral vein and artery are extremely close to the anterior part of the acetabulum (Fig. 3-7). The iliopsoas muscle provides some protection when retractors are placed over the anterior lip of the acetabulum. The key anterior anatomical structure is the iliopectineal fascia.

This may owe to the fact that we have evolved via quadrupeds. However, pressure studies One must be adept at visualizing spatial relationships in order to master the complex anatomy of the acetabulum. Inspection of the lateral aspect of the acetabulum without the femoral head clearly outlines the anatomic features (Fig. 32). From its lateral aspect, the acetabulum is cradled by the arms of an inverted Y (Fig. 3-3) (1). Posterior Column The posterior column is strong and triangular and is most suitable for internal fixation.

4-6). Although the ligaments connecting these points can be considered the major stabilizing structures, it is important to remember that smaller liga- FIGURE 4-2. Note the position of the sacrum in (A). In that position, the shape of the sacrum is not what one would expect; that is, like the keystone of an arch. Rather, it is quite the reverse. Yet, as seen in (B), in the outlet position the sacrum assumes that shape. A vertical force applied to the axial skeleton and acting on the sacrum would tend to displace the sacrum anteriorly, resisted only by the posterior sacroiliac ligamentous structures and the lumbosacral facet joints and ligaments.

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