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Posterior Wall Fracture |
Both Column Fracture |
Transverse Fracture |
Graphical representation |
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Axial CT image at the tectum |
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3D volume-rendered image |
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Fracture Line Orientation on Axial Images through the Tectum |
Obliquely-oriented |
Coronally-oriented |
Sagittally-oriented |
Columns Fractured |
None |
Anterior and Posterior |
Anterior and Posterior |
Iliac Wing |
Intact |
Fractured |
Intact |
Ischiopubic Ramus |
Intact |
Fractured |
Intact |
Mechanism |
Forces applied to a flexed knee |
Mixed forces |
Forces applied in adduction or adduction |
Prevalence |
13 - 27% |
19 - 29% |
9 - 11%
variants = 35 - 37% |
Associations |
Posterior hip dislocation Marginal impactions |
Central hip dislocation The spur sign |
Central hip dislocation |
Variants |
N/A |
N/A |
Transverse-posterior wall (20%) T-type fractures (6 %) |