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