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trauma > Fx de pelvis > Flashcards

Fx de pelvis Flashcards

1
Q

porcentaje que el corresponde d etodas las dx

A

3-8%

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2
Q

porcentaje de fx acetabular con disrupcion del anillo pelvico combinada

A

14.7%

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3
Q

Mortalidad qye representan los patrones de fx combinados

A

13%

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4
Q

mecanismo de lesion mas comun

A

alta energia
compresion anteroposterior
lateral
vertical
complejo

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5
Q

sexo en que es mas frecuente

A

hombres

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6
Q

cc

A

politruma
shock hipovolemico

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7
Q

mortalidad del px con sock hipovolemico

A

25-50%

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8
Q

fx estables

A

avulsiones de las apofisis
ramas pelvicas

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9
Q

lesion asociada mas comun

A

lesion toracica y huesos largos 50%

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10
Q

lesiones asociadas

A

trauma craneoencefalico y abdominal 40%
columna 25%
vejiga 20%
lesion uretral 10%
luxacion de cadera

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11
Q

EF

A

evaluar la estabilidad del anillo pelvico, aplicando fuerzas de rotacion gentil sobre las crestas iliacas

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12
Q

indicaciones de rx

A

AP de plevis, inlet y outlet
proyecciones alar y obturatriz (evaluan el acetabulo)

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13
Q

utilidad del TAC

A

patron de fx
fragmentos articulares
desplazamientos
lesiones del anillo posterior
planeacion preop

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14
Q

AO A1

A

Anillo pelvico estable
avulsion, ilion

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15
Q

AO A2

A

anillo pelvico estable
mecanismo directo, ilion

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16
Q

AO A3

A

Anillo pelvico estable
trazo transverso, sacro/coxis

17
Q

AO B1

A

Anillo pelvico parcialemnte estable
compresion anteroposterior (libro abierto)

18
Q

AO B2

A

Anillo pelvico parcialemnte estable
compresion lateral

19
Q

A0 B3

A

anillo pelvico parcialmente estable
bilateral, arco posterior, parcial

20
Q

AO C1

A

anillo pelvico inestble
unilateral
disrupcion posterior completa

21
Q

AO C2

A

anillo pelvico inestable
unilaterala completa
disrupcion contralateral incompleta

22
Q

AO C3

A

disrupcion bilateral posterior completa

23
Q

TX inicial

A

ATLS
ABCDE
Reanimacion primaria
estabilizacion en ux

24
Q

tx fx inestables

A

Faja
sabana
pelvic inder

25
Q

tx fx con componente rotacional inestable

A

fijador externo

26
Q

tx inestabilidad persistente

A

angiografia y embolizacion

27
Q

tx definitivo

A

RAFI

28
Q

inidaciones de tx definitivo

A

diastasis de la sinfisis del pubis >2.5 cm
desplazamiento >1cm art sacroiliaca
Fx del sacro con desplazamiento >1 cm
fx expuestas
fx hemipelvis con desplazamiento rotaiconal

29
Q

complicaciones

A

TVP 25%
Infeccion 25%
lesion GU (vejiga) 23%
lesiones nerviosas 10%
osificacion hterotopica 8%
Embolismo pulmnoar 5%

30
Q

elemento mas importante de estabilidad del anillo pelvico

A

ligamentos sacroiliacos posteriores

trauma (40 decks)

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