Your doctor will perform a thorough examination of your pelvis, hips, and legs. If there is significant blood loss, it may lead to shock-a life-threatening condition that can result in organ failure. If the fracture is due to high-energy trauma, there may also be injuries to the head, chest, abdomen, or legs. Patients with fractures caused by high-energy trauma will almost always go or be brought to an urgent care center or emergency room for initial treatment because of the severity of their symptoms. Knowing the severity and specific pattern of your fracture will help your doctor determine treatment. Orientation-such as a break that is straight across the boneĪcetabular fractures can also occur in a combination of patterns.Location-such as a break in the anterior (front) or posterior (back) column of the bone or the area around the bony rim (wall) of the acetabulum.Doctors have identified a number of different acetabular fracture patterns. The anatomy of the pelvis provides bony support for both the front (anterior) and back (posterior) of the hip socket. When they do occur, they are usually the result of very high-energy trauma. Open fractures of the acetabulum are rare because the hip joint is well covered with soft tissues. Immediate treatment is required to prevent infection.
#COMMINUTED FRACTURE COMMON LOCATION SKIN#
This type of fracture is particularly serious because, once the skin is broken, infection in both the wound and the bone can occur. If the bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone, the fracture is called an "open" or compound fracture. The injury to surrounding soft tissues, such as muscle, tendons, nerves, and skin.The injury to the cartilage surfaces of both the acetabulum and the head of the femur.The amount each piece is out of place (displaced) - In some cases, the broken ends of bones line up adequately in more severe fractures, there may be a large gap between the broken pieces, or the fragments may overlap each other.The number and size of the fracture fragments.The severity of the injury depends on several factors, including: If the joint remains irregular or unstable, ongoing cartilage damage to the surfaces may lead to arthritis. When the acetabulum is fractured, the femoral head may no longer fit firmly into the socket, and the cartilage surface of both bones may be damaged. For example, the bone can break straight across the socket or shatter into many pieces.
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