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Examination 7

Published online by Cambridge University Press:  05 March 2012

Usman Shaikh
Affiliation:
Royal Liverpool University Hospital
John Curtis
Affiliation:
University Hospital Aintree
Rebecca Hanlon
Affiliation:
University Hospital Aintree
David White
Affiliation:
University Hospital Aintree
Andrew Dunn
Affiliation:
Royal Liverpool University Hospital
Andrew Healey
Affiliation:
University Hospital Aintree
Jane Belfield
Affiliation:
Royal Liverpool University Hospital
Elizabeth Kneale
Affiliation:
University Hospital Aintree
Peter Dangerfield
Affiliation:
University of Liverpool
Hilary Fewins
Affiliation:
Liverpool Heart and Chest Hospital
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Summary

Axial CT pelvis (bone windows)

  1. Posterior column of the left acetabulum. The posterior and anterior columns of acetabulum provide the dominant load-bearing support of the hip joint. It is important to evaluate the integrity of the acetabular columns in the setting of pelvic trauma as fracture involvement of these structures is integral to all classification systems of acetabular fractures.

  2. Left rectus abdominis muscle. This is a strap-like muscle encased in a fascial sheath. It inserts onto the anterior surface of the pubic symphysis and has an aponeurosis which is continuous with that of the gracilis and adductor longus muscles.

  3. Right obturator internus. This arises from the internal surface of the medial acetabulum and inserts on the greater trochanter of the femur. Its action is to produce external rotation of the hip.

  4. Right sartorius muscle. This arises from the anterior superior iliac spine. It has a long muscle belly directed distally and medially spanning the hip and knee joints with an insertion on the antero-medial aspect of the tibia as one of the pes anseurinus tendon group.

  5. Greater trochanter of the left femur.

Lateral radiograph thoracolumbar spine

  1. T11/T12 disc space.

  2. T12 vertebral body.

  3. Twelfth rib.

  4. L1 pedicle.

  5. L1/L2 facet joint.

Type
Chapter
Information
First FRCR Anatomy
Questions and Answers
, pp. 187 - 192
Publisher: Cambridge University Press
Print publication year: 2012

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