Understanding complex acetabular fractures is difficult and may requir
e three-dimensional reformatted computed tomographic (CT) images. This
paper evaluates a technique, digital rotational imaging (DRI), that d
isplays multiple oblique images of the pelvis and acetabulum. When vie
wed statically, DRI provides optimal iliac and obturator oblique proje
ctions, often differing in obliquity from the conventional 45-degree o
rthogonal views. Dynamic DRI viewing in rapid sequence provides a thre
e-dimensional effect that improves perception of acetabular fracture r
elationships.