Difference between revisions of "Straddle pelvic fracture"

(See Also)
(Background)
 
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*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
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{{Pelvic fracture types}}
  
 
==Clinical Features==
 
==Clinical Features==
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==Differential Diagnosis==
 
==Differential Diagnosis==
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{{Abdominal trauma DDX}}
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{{Hip pain DDX}}
  
==Diagnosis==
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==Evaluation==
 
*Xray
 
*Xray
 
*CT better evaluates posterior arch
 
*CT better evaluates posterior arch
  
 
==Management==
 
==Management==
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*Orthopedic surgery
  
 
==Disposition==
 
==Disposition==
  
 
==See Also==
 
==See Also==
[[Pelvic fractures]]
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*[[Pelvic fractures]]
[[Pelvic X-ray]]
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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.