The Hip: Preservation, Replacement and Revision

Displaced Dome Fractures

- Displaced Triangular Dome Fractures:
    - typical large triangular fragment involving the dome portion of articlar cartilage may be displaced and rotated;
    - ORIF is necessary with these fractures;

- High Transverse or T fractures:
    - these shearing type injuries involving the superior portion of dome are extremely difficult to reduce by closed means;

- Displaced Double Column Fracture:
    - in double column fracture (both column fracture), frx of the ilium occurs in coronal plane and may extend directly into joint;
    - CT scan:
         - reveals a coronal frx in the dome (compared to the usual to frx in dome parallel to quadrilateral plate, indicating transverse type fracture

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, September 6, 2012 12:34 pm