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Radiology of Trauma pp 285–318Cite as

Pelvis, Hip, and Proximal Femur

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Injuries of the bones and ligaments of the pelvic ring result from severe trauma, most often sustained in motor vehicle and motor bike accidents (60%–70%), followed by work-related accidents, sports-related injuries, attempted suicide, and other causes. A high number of pelvic fractures following minor trauma were reported in osteoporotic patients by Melton et al. (1981). Linked with high-energy traumas is a high incidence of soft tissue damage and internal injuries of the pelvic region, featuring internal hemorrhage and injuries to the urinary tract and other viscera (Jungbluth and Sauer 1977). Further, more than 50% of the pelvic fractures are combined with injuries of the extremities, thorax, and head (Peltier 1965). Since physical signs of pelvic injury may not be obvious, it is important to keep the possibility of internal pelvic injuries in mind if patients are unconscious and severely traumatized.

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References

  • Alberts KA, Dahlborn M, Ringertz H (1987) Sequential scintimetry in prediction of healing rates after femoral neck fracture. Arch Orthop Trauma Surg 106: 168–172

    Article  PubMed  CAS  Google Scholar 

  • Alffram PA (1964) An epidemiologic study of cervical and trochanteric fractures of the femur in an urban population. Analysis of 1664 cases with special reference to etiologic factors. Acta Orthop Scand 65: 1–109

    Google Scholar 

  • Andersen E, Jorgensen LG, Hededam LT (1990) Evans classification of trochanteric fractures: an assessment of the interobserver and intraobserver reliability. Injury 21: 377–378

    Article  PubMed  CAS  Google Scholar 

  • Barnes R, Brown JT, Garden RS et al. (1976) Subcapital fractures of the femur. A prospective review. J Bone Joint Surg (Br) 58: 2–24

    CAS  Google Scholar 

  • Bildner S, Finnegan M (1989) Femoral fractures in Paget’s disease. J Orthop Trauma 3: 317–322

    Article  Google Scholar 

  • Bogoch ER, Oullette G, Hastings DE (1993) Intertrochanteric fractures of the femur in rheumatoid arthritis patients. Clin Orthop 294: 181–186

    PubMed  Google Scholar 

  • Burgess AR, Tile M (1991) Fractures of the pelvis. In: Rockwood CA Jr, Green DP, Buchholz RW (eds) Rockwood and Green’s fractures in adults, vol 2, 3rd edn. Lippincott, Philadelphia, pp 1399–1479

    Google Scholar 

  • Calmers J, Irvine GB (1988) Fractures of the femoral neck in elderly patients with hyperparathyroidism. Clin Orthop 229: 125–130

    Google Scholar 

  • Campbell JE (1983) Urinary tract trauma. J Can Assoc Radiol 34: 237–248

    PubMed  CAS  Google Scholar 

  • Canale ST, King RE (1991) Pelvic and hip fractures. In: Rockwood CA Jr, Wilkins KE, King RE (eds) Rockwood and Green’s fractures in children, vol 3, 3rd edn. Lippincott, Philadelphia, pp 991–1120

    Google Scholar 

  • Catsikis BD, French WM, Norcus G, Brotman S, Smith JL, Harris RD (1989) CT diagnosis of bowel herniation at pelvic fracture site. J Comput Assist Tomogr 13: 148–149

    Article  PubMed  CAS  Google Scholar 

  • Chenoweth DR, Cruickshank B, Gertzbein SD, Goldfarb P, Janosick J (1980) A clinical and experimental investigation of occult injuries of the pelvic ring. Injury 12: 59–65

    Article  PubMed  CAS  Google Scholar 

  • Dawson I, van Rijn AB (1989) Traumatic anterior dislocation of the hip. Arch Orthop Trauma Surg 108: 55–57

    Article  PubMed  CAS  Google Scholar 

  • De Smet AA, Neff JR (1985) Pubic and sacral insufficiency fractures: clinical course and radiological findings. AJR 145: 601–606

    PubMed  Google Scholar 

  • DeLee JC (1991) Fractures and dislocations of the hip. In: Rockwoood CA, Green DP, Buchholz RW (eds) Rockwood and Green’s fractures in adults, vol 2, 3rd edn. Lippincott, Philadelphia, pp 1481–1651

    Google Scholar 

  • Deutsch AL, Mink JH, Waxman AD (1989) Occult fractures of the proximal femur: MR imaging. Radiology 170: 113–116

    PubMed  CAS  Google Scholar 

  • Dihlmann W, Heller M (1985) Asterisk-Zeichen und adulte ischämische Femurkopfnekrose. Fortschr Röntgenstr 142: 430–435

    Article  CAS  Google Scholar 

  • Egund N, Nilsson LT, wingstrand H, Strömquist B, Pettersson H (1990) CT scans and lipohaemarthrosis in hip fractures. J Bone Joint Surg (Br) 72: 379–382

    CAS  Google Scholar 

  • Epstein HC (1973) Traumatic dislocations of the hip. Clin Orthop 92: 116–142

    Article  PubMed  Google Scholar 

  • Evans EM (1949) The treatment of trochanteric fractures of the femur. J Bone Joint Surg (Br) 31: 190–203

    Google Scholar 

  • Ganz R, Thomas RJ, Hammerle CP (1979) Trochanteric fractures of the femur. Treatment and results. Clin Orthop 138: 30–40

    PubMed  Google Scholar 

  • Garden RS (1961) Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg (Br) 43: 647–663

    Google Scholar 

  • Garden RS (1974) Reduction and fixation of subcapital fractures of the femur. Orthop Clin North Am 5: 683–712

    PubMed  CAS  Google Scholar 

  • Ha KI, Hahn SH, Chung MY, Yang BK, Yi SR (1991) A clinical study of stress fractures in sports activities. Orthopedics 14: 1089–1095

    PubMed  CAS  Google Scholar 

  • Heller M, Jend HH (1986) Pelvic injuries. In: Heller M, Jend HH, Genant HK (eds) Computed tomography of trauma. Thieme, Stuttgart, pp 89–102

    Google Scholar 

  • Heller M, Kötter D, Wenzel E (1980) Computertomographische Diagnostik des traumatisierten Beckens. Fortschr Röntgenstr 132: 386–391

    Article  CAS  Google Scholar 

  • Holder LE, Schwarz C, Wernicke PG, Michael RH (1990) Radionuclide bone imaging in the early detection of fractures of the proximal femur (hip): multifactorial analysis. Radiology 174: 509–515

    PubMed  CAS  Google Scholar 

  • Iversen BJ, Aalberg JR, Naver LS (1986) Complications of fractures of the femoral neck. Ann Chir Gynaecol 75: 341–344

    PubMed  CAS  Google Scholar 

  • Jacob JR, Rao JP, Ciccarelli C (1987) Traumatic dislocation and fracture dislocation of the hip. A long-term follow-up study. Clin Orthop 214: 249–263

    PubMed  Google Scholar 

  • Judet R, Judet J, Letournel E (1964) Fractures of the acetabulum: classification and surgical approaches for open reduction. J Bone Joint Surg (Am) 46: 1615–1648

    CAS  Google Scholar 

  • Jungbluth KH, Sauer HD (1977) Ergebnisse operativ versorgter schwerer Hüftverrenkungsbrüche. Chirurg 48: 786–792

    PubMed  CAS  Google Scholar 

  • Kaulbach C, Heller M, Triebel HJ, Spielmann RP, RichartzHeller M (1989) Radiologische Diagnostik der Azetabulumfrakturen. Radiologe 29: 501–507

    PubMed  CAS  Google Scholar 

  • Klenerman L, Marcuson RW (1970) Intracapsular fractures of the neck of the femur. J Bone Joint Surg (Br) 52: 514–517

    CAS  Google Scholar 

  • Kreitner KF, Weigand H (1993) Becken, Hüftgelenk und proximales Femurende. In: Thelen M, Ritter G, Bücheler E (eds) Radiologische Diagnostik der Verletzungen von Knochen und Gelenken. Thieme, Stuttgart, pp 381–449

    Google Scholar 

  • Lansinger O (1977) Fractures of the acetabulum. A clinical, radiological and experimental study. Acta Orthop Scand 165: 1–125

    CAS  Google Scholar 

  • Larson CB (1973) Fracture dislocations of the hip. Clin Orthop 92: 147–154

    Article  PubMed  Google Scholar 

  • Looser KG, Crombie HD Jr (1976) Pelvic fractures: an anatomic guide to severity of injury. Review of 100 cases. Am J Surg 132: 638–642

    Article  PubMed  CAS  Google Scholar 

  • Magid D (1994) Computed tomographic imaging of the musculoskeletal system. Current status. Radiol Clin North Am 32: 255–274

    PubMed  CAS  Google Scholar 

  • Martinez CR, DiPasquale TG, Helfet DL, Graham AW, Sanders RW, Ray LD (1992) Evaluation of acetabular fractures with two-and three-dimensional CT. Radiographics 12: 227–242

    PubMed  CAS  Google Scholar 

  • Melton LJ, Sampson JM, Morrey BF, Ilstrup DM (1981) Epidemiologic features of pelvic fractures. Clin Orthop 155: 43–47

    PubMed  Google Scholar 

  • Muckle DS (1976) latrogenic factors in femoral neck fractures. Injury 8:98–101

    Article  PubMed  CAS  Google Scholar 

  • Müller ME, Nazarian S, Koch P, Schatzker J (1990) The comprehensive classification of fractures of the long bones. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  • Nilsson BE (1970) Spinal osteoporosis and femoral neck fracture. Clin Orthop 68: 93–95

    PubMed  CAS  Google Scholar 

  • Nutton RW, Pinder IM, Williams D (1982) Detection of sacroiliac injury by bone scanning in fractures of the pelvis and its clinical significance. Injury 13: 473–477

    Article  PubMed  CAS  Google Scholar 

  • Ogden JA (1974) Changing patterns of proximal femoral vascularity. J Bone Joint Surg (Am) 56: 941–950

    CAS  Google Scholar 

  • Panetta T, Sclafani SJA, Golstein AS, Phillips TF, Shaftan GW (1985) Percutaneous transcatheter embolization for massive bleeding from pelvic fractures. J Trauma 25: 1021–1029

    PubMed  CAS  Google Scholar 

  • Pauwels F (1973) Atlas zur Biomechanik der gesunden und kranken Hüfte. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Peltier LF (1965) Complications associated with fractures of the pelvis. J Bone Joint Surg (Am) 47: 1060–1069

    CAS  Google Scholar 

  • Pennal GF, Tile M, Waddel JP, Garside H (1980) Pelvic disruption: assessment and classification. Clin Orthop 151: 12–21

    PubMed  Google Scholar 

  • Pipkin G (1957) Treatment of grade IV fracture-dislocation of the hip. J Bone Joint Surg (Am) 39: 1027–1042

    Google Scholar 

  • Ponseti IV (1978) Growth and development of the acetabulum in the normal child. J Bone Joint Surg (Am) 60: 575–585

    CAS  Google Scholar 

  • Potter HG, Montgomery KD, Heise CW, Helfet DL (1994) MR imaging of acetabular fractures: value in detecting femoral head injury, intraarticular fragments, and sciatic nerve injury. AJR 163: 881–886

    PubMed  CAS  Google Scholar 

  • Rizzo PF, Gould ES, Lyden JP, Asnis SE (1993) Diagnosis of occult fractures about the hip. J Bone Joint Surg (Am) 75: 395–401

    CAS  Google Scholar 

  • Roeder L Jr, DeLee JC (1980) Femoral head fractures associated with posterior hip dislocations. Clin Orthop 147: 121–130

    PubMed  Google Scholar 

  • Rogers LF (1992) Radiology of skeletal trauma. Churchill Livingstone, New York, pp 991–1197

    Google Scholar 

  • Schild H, Müller HA, Klose K, Ahlers J, Hüwel N (1981) Anatomie, Röntgenologie und Klinik der Sakrumfrakturen. Fortschr Röntgenstr 134: 522–527

    Article  CAS  Google Scholar 

  • Schmitt R, Schindler G, Gay B, Brendel H, Riemenschneider J (1987) Computertomographische Diagnostik bei Acetabulumfrakturen. RÖFO 146: 628–635

    PubMed  CAS  Google Scholar 

  • Schwappach JR, Murphey MD, Kokmeyer SF, Rosenthal HG, Simmons MS, Huntrakoon M (1993) Subcapital fractures of the femoral neck: prevalence and cause of radiographic appearance simulating pathologic fracture. AJR 162: 651–654

    Google Scholar 

  • Sinha SN (1985) Simultaneous anterior and posterior dislocation of the hip joints. J Trauma 25: 269–270

    Article  PubMed  CAS  Google Scholar 

  • Speer KP, Spritzer CE, Harrelson JM, Nunley JA (1990) Magnetic resonance imaging of the femoral head after acute intracapsular fracture of the femoral neck. J Bone Joint Surg (Am) 72: 98–103

    CAS  Google Scholar 

  • Stevens J, Freeman PA, Nordin BEC et al. (1962) The incidence of osteoporosis in patients with femoral neck fracture. J Bone Joint Surg (Br) 44: 520–527

    Google Scholar 

  • Stewart MJ, McCarroll HR, Mulhollan JS (1975) Fracturedislocation of the hip. Acta Orthop Scand 46: 507–525

    PubMed  CAS  Google Scholar 

  • Tateishi H, Maeda M, Yoh K, Nakano T, Nakano K (1992) Pathologic fracture associated with amyloid deposition in the bone of a chronic hemodialysis patient. A case report. Clin Orthop 274: 300–304

    Google Scholar 

  • Tehranzadeh J, Vanarthos W, Pais MJ (1990) Osteochondral impaction of the femoral head associated with hip dislocation: CT study in 35 patients. AJR 155: 1049–1052

    PubMed  CAS  Google Scholar 

  • Thaggard A, Harle TS, Carlson V (1978) Fractures and dislocations of bony pelvis and hip. Semin Roentgenol 13: 117–134

    Article  PubMed  Google Scholar 

  • Tile M, Pennal GF (1980) Pelvic disruption: principles of management. Clin Orthop 151: 56–64

    PubMed  Google Scholar 

  • Trueta J (1968) Die Anatomie der Gefässe des Oberschenkelkopfes und ihre Empfindlichkeit gegenüber traumatischer Schädigung. H Unfallheilk 97: 18–28

    CAS  Google Scholar 

  • Tyrell PN, Davies AM (1994) Magnetic resonance imaging appearance of fatigue fractures of the long bones of the lower limb. Br J Radiol 67: 332–338

    Article  Google Scholar 

  • Watts HG (1976) Fractures of the pelvis in children. Orthop Clin North Am 7: 615–624

    PubMed  CAS  Google Scholar 

  • Weigand H, Sarfert D, Schweikert CH, Walde HJ (1978) Die reine traumatische Hüftluxation des Erwachsenen. Unfallheilk 81: 20–27

    CAS  Google Scholar 

  • Williams PC, Warwick R, Dyson M, Bannister LH (1989) Gray’s anatomy, 37th edn. Churchill Livingstone, New York, pp 516–526

    Google Scholar 

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Authors and Affiliations

  1. Klinik für Radiologische Diagnostik, Klinikum der Christian-Albrechts-Universität, Arnold-Heller-Straße 9, 24105, Kiel, Germany

    J. Brossmann MD, H. Schwarzenberg MD & M. Heller MD, PhD (Professor, Direktor)

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  1. J. Brossmann MD
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  2. H. Schwarzenberg MD
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  3. M. Heller MD, PhD
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Editors and Affiliations

  1. Klinik für Diagnostische Radiologie, Klinikum an der Christian-Albrechts-Universität zu Kiel, Arnold-Heller-Straße 9, 24105, Kiel, Germany

    Martin Heller  & Andreas Fink  & 

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Brossmann, J., Schwarzenberg, H., Heller, M. (2000). Pelvis, Hip, and Proximal Femur. In: Heller, M., Fink, A. (eds) Radiology of Trauma. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60917-6_11

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  • DOI: https://doi.org/10.1007/978-3-642-60917-6_11

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  • Print ISBN: 978-3-540-66338-6

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