Review Question - QID 214159

Figure A reveals the obturator oblique view of the left hip and the iliac oblique view of the right hip. This view is optimal for viewing the right posterior column, right anterior wall, left anterior column and left posterior wall.

Pelvis radiographs can be helpful in identifying patterns of acetabulum fractures. General recommended views with most acetabulum fractures are AP, inlet, outlet, and judet views (obturator oblique and obturator iliac). The Judet views are 45 degree obliques of the affected hip. The obturator oblique of the affected hip has the obturator foramen in profile while the iliac oblique of the affected hip has the iliac wing in profile. The obturator oblique of the affected hip is best for viewing the anterior column and posterior wall of that hip while the iliac oblique of the affected hip is best for viewing the anterior wall and posterior column of that hip.

Mostafavi and Tornetta performed a review of the radiographic analysis of pelvis and acetabulum fractures. They noted that the standard radiographic assessment of the pelvis includes the anteroposterior, inlet, outlet, Judet views, and often axial computed tomography images. The authors describe the benefits of each view and the landmarks that each view allows one to visualize.

Figure A is the judet obturator oblique view of the left hip (left hip obturator foramen in profile) and the iliac oblique view of the right hip (right iliac wing in profile). Illustration A is a labeled version of Figure A.

Incorrect Answers:
Answer 1: The right anterior wall and left posterior wall (not left posterior column) are visualized best in the radiograph
Answer 2: The left anterior column (not anterior wall) and right posterior column are visualized best in the radiograph
Answer 3: The right posterior column (not posterior wall) and left anterior column are visualized best in the radiograph
Answer 5: The right posterior column and left anterior column (not anterior wall) are visualized best in the radiograph