{"id":638,"date":"2022-04-13T10:40:56","date_gmt":"2022-04-13T08:40:56","guid":{"rendered":"https:\/\/elgeaditraumatologia.com\/?p=1154"},"modified":"2026-04-23T14:33:37","modified_gmt":"2026-04-23T12:33:37","slug":"hip-fractures-that-are-acetabular-fractures","status":"publish","type":"post","link":"https:\/\/elgeaditraumatologia.com\/en\/fracturas-de-cadera-que-son-las-fracturas-de-acetabulo\/","title":{"rendered":"Everything you need to know about acetabulum fractures"},"content":{"rendered":"

Acetabulum fracture is an injury that affects the cotyloid cavity of the pelvis where the head of the femur fits. This is an incidence of 3 per 100.00 inhabitants per year. In this post we talk about the symptoms of acetabulum fractures, their most frequent causes and the best diagnosis and treatment for them.<\/em><\/p>\n

What are acetabular fractures?<\/h2>\n

A fracture of the acetabulum, also known as a fracture of the acetabulum, is a break in the socket portion of the \u201cball\u201d hip joint<\/strong>.<\/p>\n

The severity of an injury depends on factors such as the number and size of the fracture fragments, injury to the cartilage surfaces of both the acetabulum and the head of the femur, and injury to surrounding soft tissues such as muscles, tendons, nerves and skin.<\/p>\n

Generally, they occur in elderly patients who suffer from osteoporosis due to falls from height<\/strong><\/a>.<\/p>\n

\"What<\/p>\n

Types of acetabular fractures<\/h3>\n

The fracture that occurs will depend largely on the position adopted by the femoral head at the moment of impact.<\/p>\n

Acetabular fractures can be divided into two groups. On the one hand, They are known as simple fractures when the fracture line is single<\/strong>, and may affect the anterior pillar, the posterior pillar, the cotyloid eyebrow or be transverse.<\/p>\n

On the other hand, within complex fractures, there are two or more fracture lines. The T fracture<\/strong> It is composed of a transverse line and simultaneous involvement of the ischiopubic or iliopubic branch. The fracture of the posterior wall of the acetabulum<\/strong> It is associated with fracture of the posterior pillar. Finally, simultaneous fracture of the anterior and posterior pillar can be found.<\/p>\n

The fracture that occurs will depend largely on the position adopted by the femoral head at the moment of impact.<\/p>\n

Symptoms and signs of an acetabulum fracture<\/h3>\n

The main symptom of fractures of the hip acetabulum is the inability to mobilize the lower limb, showing a shortening of the injured limb.<\/p>\n

Furthermore, the patient presents a intense pain in the hip area and joint stiffness<\/strong>.<\/p>\n

\"How<\/p>\n

How do acetabular fractures occur?<\/h3>\n

Acetabular fractures are the result of High energy trauma in young patients<\/strong>. They are not limited to injuries to the bones of the pelvis, but are often associated with other abdominal, skeletal or visceral injuries. 50% of acetabular injuries are accompanied by systemic injuries<\/strong>.<\/p>\n

Acetabular fractures are sometimes caused by weak or insufficient bone. For this reason, it is also common to find them present in elderly patients who suffer from osteoporosis due to falls from their own height.<\/p>\n

Diagnosis and treatment of acetabular fractures<\/h2>\n

To detect an acetabular fracture, a trauma evaluation is necessary, the treatment of which often involves surgery to restore normal hip anatomy and stabilize this joint.<\/p>\n

How is an acetabular fracture diagnosed?<\/h3>\n

The X-rays are the initial technique used to detect acetabular fractures<\/strong>. These images are taken from various angles in order to show the fracture pattern and displacement of the bones.<\/p>\n

Additionally, the hip traumatologist will request a CT scan for acetabular fractures<\/strong>, which will serve to obtain an image with more details that will help with planning before the intervention.<\/p>\n

\"How<\/p>\n

Treatment for acetabulum fracture<\/h3>\n

In general terms the Acetabular fractures do not require definitive emergency treatment<\/strong>. Initially, the placement of transskeletal traction will be sufficient to prevent the increase in the severity of the injury. If the hip is dislocated, it must be urgently reduced.<\/p>\n

At Elgeadi Traumatology we have experts in endoscopy and arthroscopy for the treatment of acetabular fractures<\/strong> with the most innovative techniques for patient interventions.<\/p>\n

Minimally invasive surgery for acetabulum fractures has multiple advantages, in addition to allowing the patient to be discharged from the hospital that same day of the intervention.<\/p>\n

Acetabulum fracture recovery<\/h2>\n

Current data shows that the native hip can be saved in 79% of cases at 20 years<\/strong>. The factors that influence a poor prognosis are, among others:<\/p>\n