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How to diagnose acetabulum fractures?

One column
AC

Ischial

AW
PC

NO

AW

Ramus fracture

PC/PW

Two column
Trans

Ischii

AC-PHT

TP

ABC
Ramus fracture (+)

T-shaped

AC-PHT
ABC
T-shaped

(+)

ACPHT or ABC
T-shaped

Spur Sign
(+)

ABC

Iliac wing fract ( - )

QUESTION
Column involved

No

PW

YES
AC
How Many

ONE

PC
AW
PC/PW

AW
AC

Ischial
ramus
fr (-)

TWO
TRANS
TP (transPW)

Fracture of ischial
ramus (+)

AC/PHT
T-SHAPED

ABC

AC-PHT
T-shaped
ABC

Iliac wing fracture

(+)

(-)

AC-PHT or ABC

Spur sign (+)

T-shaped

ABC

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