Open book pelvic fracture - Revision history

Rossdonaldson1 at 22:28, 17 March 2021

2021-03-17T22:28:56Z

← Older revision		Revision as of 22:28, 17 March 2021
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	==Background==		==Background==
	[[File:Skeletal pelvis-pubis.png\|thumb\|The skeleton of the human pelvis: 1. Sacrum; 2. Ilium; 3. Ischium; 4. Pubic bone (4a. corpus, 4b. ramus superior, 4c. ramus inferior, 4d. tuberculum pubicum); 5. Pubic symphysis, 6. Acetabulum (of the hip joint), 7. Foramen obturatum, 8. Coccyx/tailbone; Dotted. Linea terminalis of the pelvic brim.]]
	~~[[File:Slide12DEN.jpg\|thumb\|Pelvis anatomy, medial view.]]~~
	~~[[File:Slide14DEN.jpg\|thumb\|Pelvis anatomy, lateral view.]]~~
	*Results from an anteroposterior compression injury to the pelvis		*Results from an anteroposterior compression injury to the pelvis
	*Often seen in elderly falls vs MVA or other high speed trauma		*Often seen in elderly falls vs MVA or other high speed trauma
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	*Results in tears of the strong pelvic ligaments that hold the pelvis bones together		*Results in tears of the strong pelvic ligaments that hold the pelvis bones together
	*Large arteries pass near these ligaments and can get torn resulting in massive blood loss		*Large arteries pass near these ligaments and can get torn resulting in massive blood loss

			{{Pelvic fracture types}}

	==Clinical Features==		==Clinical Features==

2021-03-17T22:21:33Z

Background

← Older revision		Revision as of 22:21, 17 March 2021
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	==Background==		==Background==
			[[File:Skeletal pelvis-pubis.png\|thumb\|The skeleton of the human pelvis: 1. Sacrum; 2. Ilium; 3. Ischium; 4. Pubic bone (4a. corpus, 4b. ramus superior, 4c. ramus inferior, 4d. tuberculum pubicum); 5. Pubic symphysis, 6. Acetabulum (of the hip joint), 7. Foramen obturatum, 8. Coccyx/tailbone; Dotted. Linea terminalis of the pelvic brim.]]
			[[File:Slide12DEN.jpg\|thumb\|Pelvis anatomy, medial view.]]
			[[File:Slide14DEN.jpg\|thumb\|Pelvis anatomy, lateral view.]]
	*Results from an anteroposterior compression injury to the pelvis		*Results from an anteroposterior compression injury to the pelvis
	*Often seen in elderly falls vs MVA or other high speed trauma		*Often seen in elderly falls vs MVA or other high speed trauma

2017-07-24T01:12:51Z

Text replacement - "==References== " to "==References== <references/> "

2017-03-10T08:19:49Z

Complications

← Older revision		Revision as of 08:19, 10 March 2017
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	==Complications==		==Complications==
	*[[Hypotension]]from exsanguination		*[[Hypotension]] from exsanguination
	*infection		*infection
	*Loss of function		*Loss of function

2017-03-10T08:18:31Z

Text replacement - "Hypotension " to "Hypotension"

← Older revision		Revision as of 08:18, 10 March 2017
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	==Complications==		==Complications==
	*Hypotension from exsanguination		*[[Hypotension]]from exsanguination
	*infection		*infection
	*Loss of function		*Loss of function

2016-07-24T08:28:58Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-09T07:37:25Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 07:37, 9 July 2016
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	*CT Pelvis		*CT Pelvis

	==~~Treatment~~==		==Management==
	*Stabilize fracture with pelvic binder or bed sheet wrapped around greater trochanter (physician's often make mistake of wrapping around the iliac crest)		*Stabilize fracture with pelvic binder or bed sheet wrapped around greater trochanter (physician's often make mistake of wrapping around the iliac crest)
	*If suspect pelvic injury and patient is unstable, place pelvic binder/sheet immediately then obtain X-ray when patient is stable		*If suspect pelvic injury and patient is unstable, place pelvic binder/sheet immediately then obtain X-ray when patient is stable

2016-07-06T10:47:36Z

Text replacement - "* " to "*"

← Older revision		Revision as of 10:47, 6 July 2016
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	==Clinical Features==		==Clinical Features==
	* pelvic/Hip pain		*pelvic/Hip pain
	* Unstable pelvis		*Unstable pelvis
	* hypotension if large amounts of bleed		*hypotension if large amounts of bleed
	* Consider concomitant GU injury		*Consider concomitant GU injury

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Diagnosis==		==Diagnosis==
	[[File:Picture4.jpg\|thumb\|]]		[[File:Picture4.jpg\|thumb\|]]
	* Unstable pelvis on exam		*Unstable pelvis on exam
	* Xr pelvis in acute trauma setting		*Xr pelvis in acute trauma setting
	* CT Pelvis		*CT Pelvis

	==Treatment==		==Treatment==
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	==Complications==		==Complications==
	* Hypotension from exsanguination		*Hypotension from exsanguination
	* infection		*infection
	* Loss of function		*Loss of function
	* Genitourinary injury		*Genitourinary injury

	==Disposition==		==Disposition==

2016-03-22T15:48:50Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

2015-09-10T01:55:36Z

Treatment

← Older revision		Revision as of 01:55, 10 September 2015
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	==Treatment==		==Treatment==
	*~~In acute setting, stabilize~~ fracture with pelvic binder or bed sheet wrapped around greater trochanter (physician's often make mistake of wrapping around the iliac crest(		*Stabilize fracture with pelvic binder or bed sheet wrapped around greater trochanter (physician's often make mistake of wrapping around the iliac crest)
	* If suspect pelvic injury and patient is unstable, place pelvic binder immediately then obtain X-ray when patient is stable~~. If no pelvic binder is available can use bed sheet wrapped around pelvis of patient~~		*If suspect pelvic injury and patient is unstable, place pelvic binder/sheet immediately then obtain X-ray when patient is stable
	**if patient persistently hypotensive even after binder and suspect pelvic artery bleed consider IR for embolization		**If patient persistently hypotensive even after binder and suspect pelvic artery bleed consider IR for embolization
	* Long term management requires orthopedic consultation		*Long term management requires orthopedic consultation

	==Complications==		==Complications==