Orthopedics · Pelvic and Acetabular Trauma

According to the Letournel and Judet classification of acetabular fractures, which one of the following is classified as an ELEMENTARY pattern?

  • A T-shaped fracture
  • B Both-column fracture
  • C Transverse with posterior wall fracture
  • D Transverse fracture
Correct answer: D. Transverse fracture

Explanation

Letournel described five elementary patterns (posterior wall, posterior column, anterior wall, anterior column, and transverse) and five associated patterns (posterior column plus posterior wall, transverse plus posterior wall, T-shaped, anterior column plus posterior hemitransverse, and both-column). The transverse fracture is elementary because it consists of a single fracture line splitting the innominate bone into anterior and posterior segments.

Reference: Rockwood and Green's Fractures in Adults, 9th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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