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What to do for my father's comminuted acetabulum fracture seen in his recent CT scan?
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Bone and Orthopedic Conditions
Question #29779
7 days ago
55

What to do for my father's comminuted acetabulum fracture seen in his recent CT scan? - #29779

Client_24eebd

A Preliminary A.P. scanogram of the Abdominopelvic regions was first made. Serial axial scans were then performed from the level of Iliac Crests down to the level of lesser Trochanters, employing 10mm sections and a wide latitude in Window settings. Comminuted fracture of left acetabulam with mild displaced fracture segment , surrounding hematoma is seen. The Iliac bones bilaterally appear normal. The sacrococcygeum including the L5 vertebra appear normal. The Sacroiliac articular surfaces bilaterally appear normal The ischeum, the Pubic symphysis are normal. The Femoral head appear to maintain normal cross sectional configurations. The Fovea Centaralis is normally defined. The Femoral neck, trochanter and Proximal shafts all appear normal. The Hip joint spaces and capsules are within normal limits. The soft tissues of the Pelvis and around both Hip joints are also within normal limits. This is my father cr scan report says

How did your father sustain this injury?:

- Car accident

What symptoms is your father experiencing?:

- Severe pain in the hip

Has he received any treatment since the injury?:

- Yes, pain management

Is your father currently on any medications?:

- Other prescription medications

Does he have any other medical conditions?:

- No other conditions

How old is your father?:

- 50-65

What is his activity level like before the injury?:

- Very active
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
7 days ago
5

Hello

This is a significant fracture of the hip socket, and while the displacement is described as mild, the fact that it is comminuted makes it more complex. Your father should be seen as soon as possible by an orthopedic or trauma surgeon, because many of these fractures need surgical fixation to restore the joint surface properly. If the joint alignment is still good, doctors may choose non-surgical management with strict bed rest, traction in some cases, and absolutely no weight bearing for several weeks.

For now, he should avoid standing or walking on that side, keep movements minimal, continue prescribed pain medications, and watch for increasing pain, swelling, numbness, or fever. Recovery usually takes a few months, and proper treatment is important to reduce the risk of long-term complications like hip stiffness, arthritis, or difficulty walking later.

Take care

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
7 days ago
5

Hello dear See as per clinical history fracture It requires Conservative treatment Surgery or knee replacement therapy Limb motion Gait analysis Physiotherapy exercises Kindly consider below factors for good prognosis Age Locomotive movement Healing potential Please share the result with orthopedic surgeon in person for better clarity Regards

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Considering your father’s CT scan report, the main concern highlighted is a comminuted fracture of the left acetabulum with mild displacement and associated hematoma. A comminuted fracture means the bone is broken into multiple pieces, making it a complex situation to manage. The first step is to schedule an appointment with an orthopedic specialist who can evaluate the necessity of surgical intervention, which is often required for displaced acetabular fractures to ensure proper alignment and avoid future complications like arthritis or hip instability. In cases where surgery is needed, it’s generally conducted to realign and stabilize the fracture fragments using plates and screws.

If surgery is not immediately recommended, or while awaiting surgical evaluation, your father may need to adhere to a regimen of pain management and limited weight-bearing on the affected side. This might involve crutches or a walker to avoid putting pressure on the hip, along with prescription pain medications or NSAIDs to reduce pain and swelling. Physical therapy might be introduced to maintain range of motion and prevent muscle atrophy, but only as advised by the orthopedic surgeon based on the fracture’s healing progress.

Meanwhile, ensure a safe environment at home to prevent falls, since stability may be compromised. Monitoring for signs of worsening pain, swelling, or any new symptoms like fever is crucial, as these can indicate complications like infection. In such instances or if there’s any sudden increase in pain, he should see medical attention right away. Nutritional support emphasizing calcium and vitamin D can aid bone healing, but these should complement the primary orthopedic management plan.

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