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Review Question - QID 2957

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QID 2957 (Type "2957" in App Search)
A computed tomography (CT) scan has been shown to be indicated for evaluation of all of the following aspects of acetabular fractures, EXCEPT:

Determination of surgical planning

1%

19/1564

Intra-articular loose bodies

1%

20/1564

Marginal impaction

3%

40/1564

Fracture piece size and position

1%

8/1564

Determination of pre-existing degenerative changes

94%

1464/1564

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CT scanning is indicated in acetabular fractures for determination of surgical approach and techniques, evaluation of marginal impaction and presence of intra-articular loose bodies (especially after hip dislocation), and evaluation of fracture piece sizes and relative positions.

Kellam et al reviewed their initial experience with CT scanning and acetabular fractures, and noted a 25% change in surgical planning when CT was utilized versus plain radiographs; they also noted the ability to detect marginal impaction and fracture size/position was improved with CT.

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