Difference between revisions of "Straddle pelvic fracture"
(→Diagnosis) |
(→Background) |
||
| (9 intermediate revisions by 4 users not shown) | |||
| Line 1: | Line 1: | ||
==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== | ||
| Line 10: | Line 12: | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| + | {{Abdominal trauma DDX}} | ||
| + | {{Hip pain DDX}} | ||
| − | == | + | ==Evaluation== |
*Xray | *Xray | ||
*CT better evaluates posterior arch | *CT better evaluates posterior arch | ||
==Management== | ==Management== | ||
| + | *Orthopedic surgery | ||
==Disposition== | ==Disposition== | ||
==See Also== | ==See Also== | ||
| + | *[[Pelvic fractures]] | ||
| + | *[[Pelvic X-ray]] | ||
==External Links== | ==External Links== | ||
| Line 25: | Line 32: | ||
==References== | ==References== | ||
<references/> | <references/> | ||
| + | |||
| + | [[Category:Orthopedics]] | ||
Latest revision as of 22:29, 17 March 2021
Contents
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
- Acetabular pelvic fractures
- Open book pelvic fracture
- Straddle pelvic fracture
- Pelvic avulsion fracture
Clinical Features
- Often associated with
- posterior arch injuries
- genitourinary injuries
Differential Diagnosis
Abdominal Trauma
- Diaphragmatic trauma
- Liver trauma
- Splenic trauma
- Pelvic fractures
- Genitourinary trauma
- Retroperitoneal hemorrhage
- Renal trauma
- Ureter trauma
- Abdominal compartment syndrome
- Trauma in pregnancy
Hip pain
Acute Trauma
- Femur fracture
- Proximal
- Intracapsular
- Extracapsular
- Shaft
- Mid-shaft femur fracture (all subtrochanteric)
- Proximal
- Hip dislocation
- Pelvic fractures
Chronic/Atraumatic
- Hip bursitis
- Psoas abscess
- Piriformis syndrome
- Meralgia paresthetica
- Septic arthritis
- Obturator nerve entrapment
- Avascular necrosis of hip
Evaluation
- Xray
- CT better evaluates posterior arch
Management
- Orthopedic surgery
Disposition
See Also
External Links
References
- ↑ Rosen's Emergency Medicine. Philadelphia, PA. 2014.