Straddle pelvic fracture: Difference between revisions
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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.]] | |||
*Also known as "Four-pillar" injury<ref>Rosen's Emergency Medicine. Philadelphia, PA. 2014.</ref> | *Also known as "Four-pillar" injury<ref>Rosen's Emergency Medicine. Philadelphia, PA. 2014.</ref> | ||
*Involves fractures of both pubic rami bilaterally | *Involves fractures of both pubic rami bilaterally | ||
Revision as of 22:22, 17 March 2021
Background
- Also known as "Four-pillar" injury[1]
- Involves fractures of both pubic rami bilaterally
- Causes a "butterfly segment" containing the pubic symphysis
Clinical Features
- Often associated with
- posterior arch injuries
- genitourinary injuries
Differential Diagnosis
Evaluation
- Xray
- CT better evaluates posterior arch
Management
- Orthopedic surgery
Disposition
See Also
External Links
References
- ↑ Rosen's Emergency Medicine. Philadelphia, PA. 2014.