Difference between revisions of "Straddle pelvic fracture"

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==Background==
 
==Background==
*Also known as "Four-pillar" injury
+
*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
 
*Causes a "butterfly segment" containing the pubic symphysis
 
*Causes a "butterfly segment" containing the pubic symphysis
 +
 +
{{Pelvic fracture types}}
  
 
==Clinical Features==
 
==Clinical Features==
*
+
*Often associated with
 +
**posterior arch injuries
 +
**genitourinary injuries
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 +
{{Abdominal trauma DDX}}
 +
{{Hip pain DDX}}
  
==Diagnosis==
+
==Evaluation==
 +
*Xray
 +
*CT better evaluates posterior arch
  
 
==Management==
 
==Management==
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*Orthopedic surgery
  
 
==Disposition==
 
==Disposition==
  
 
==See Also==
 
==See Also==
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*[[Pelvic fractures]]
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*[[Pelvic X-ray]]
  
 
==External Links==
 
==External Links==
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==References==
 
==References==
 
<references/>
 
<references/>
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 +
[[Category:Orthopedics]]

Latest revision as of 22:29, 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

Pelvic fracture types

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.
Pelvis anatomy, medial view.
Pelvis anatomy, lateral view.

Clinical Features

  • Often associated with
    • posterior arch injuries
    • genitourinary injuries

Differential Diagnosis

Abdominal Trauma

Hip pain

Acute Trauma

Chronic/Atraumatic

Evaluation

  • Xray
  • CT better evaluates posterior arch

Management

  • Orthopedic surgery

Disposition

See Also

External Links

References

  1. Rosen's Emergency Medicine. Philadelphia, PA. 2014.