A calcified ligamentum teres mimicking entrapped intraarticular bony fragments in a patient with acetabular fracture.
A motor vehicle accident victim presented with a fractured acetabulum and had apparent entrapped bony intraarticular fragments seen on computed tomography scanning. At surgery, these fragments were found to be a partially avulsed calcified ligamentum teres that was apparently caused by a previous injury of the same hip. Excision of the calcified ligament and surgical stabilization of the acetabulum were performed. A calcified ligamentum teres may be confused with entrapped bony fragments and therefore cause difficulty in the evaluation and management of acetabular fractures.
Ebraheim
N A
NA
Department of Orthopaedic Surgery, Medical College of Ohio, Toledo 43699.
Savolaine
E R
ER
Fenton
P J
PJ
Jackson
W T
WT
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D002114:Calcinosis / Q000150:complications*; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008023:Ligaments, Articular / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed