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MRI scan
0%
0/256
CT scan of the pelvis
11%
27/256
Application of skeletal traction
24%
62/256
Closed reduction of the right hip
63%
161/256
Open reduction and internal fixation
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The radiograph reveals a displaced transverse posterior wall acetabular fracture, and the hip is dislocated. On recognition of a hip dislocation, the hip should be promptly reduced. A time to reduction of greater than 12 hours has been associated with adverse outcomes. Although skeletal traction and a CT scan are essential elements in this patient's care, the hip should be reduced prior to these actions. An MRI scan is not indicated in this patient, particularly with the hip dislocated. The ultimate surgical treatment for this injury will be open reduction and internal fixation, but the patient should be stabilized, the hip reduced, and appropriate imaging obtained before taking the patient to surgery.
2.4
(23)
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