Orthopedics · Pelvic and Acetabular Trauma

On a Judet oblique radiograph (obturator oblique view), which structure is best visualized for assessing an anterior column acetabular fracture?

  • A Posterior column and anterior wall
  • B Sacral ala
  • C Quadrilateral surface
  • D Anterior column and posterior wall
Correct answer: D. Anterior column and posterior wall

Explanation

The obturator oblique view (Judet view with the affected side rotated 45 degrees toward the film) best visualizes the anterior column and posterior wall. The iliac oblique view (opposite rotation) best visualizes the posterior column and anterior wall. These two oblique views, along with the AP pelvis, are essential for classifying acetabular fractures according to the Judet-Letournel system.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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