L10: Hip and Pelvis Trauma Flashcards
Classification of pelvic ring injuries?
Stability?
Young Burgess Classification of Pelvic Ring Injuries
Lateral Compression Types ½ + Anterior Posterior Types ½: Stable
Lateral Compression/Anterior Posterior 3 and Verticle Sheer: Unstable
Contribution of Anterior/Posterior Pelvic Stabilizers?
Anterior: 40% of Stablity
Posterior: 60% of Stability (More powerful)
What can help control hemorrhage in pelvic injury?
Binding (Greater trochanter of the femur)
When to perform retrograde cystourethrogram for urethral injury?
- scrotal or vulval hematoma
- high-riding prostate
- blood at the urethral meatus
Types of Ruptured male urethra?
What causes a butterfly hematoma?
Intra-Fascial Space Hematoma
What injury has occurred here?
Posterior hip dislocation: dashboard injury
Injured limb adducted and internally rotated
Tearing of subcutaneous fascia from deep fascia?
Morel Lavallee Lesion
Types of Femoral Neck Fractures, which is more severe?
Pertrocanteric (Through Trecantor): LESS SEVERE
as vasculature to the head of femur maintained
Subcapital: MORE DANGEROUS=> Avasucular necrosis and crhonic severe pain
Fractures Involving Growth Plates?
Salter-Harris Fracture
What type of fracture is this?
Slipped Apyphysis
What type of fracture is this?
Above
What type of fracture is this?
Lower
What type of fracture is this?
Through Everything
What type of fracture is this?
Rammed
Regional Anesthesia for Hip/ Head of Femur Injuries?
Fascia Iliaca Blockade
Young Burgess Classification of this Injury?
Lateral Compression I (Stable)
Young Burgess Classification of this Injury?
Lateral Compression II (Stable)
Young Burgess Classification of this Injury?
Lateral Compression III (Unstable)
Young Burgess Classification of this Injury?
Anterioir Posterior I (Stable)
Young Burgess Classification of this Injury?
Anterior Posterior II (Stable)
Young Burgess Classification of this Injury?
Anterior Posterior III (Unstable)