pelvic and acetabular fracture Flashcards
Complications of pelvic fractures
Life-threatening haemorrhage Neurological deficit Urogenital trauma Bowel injury Venous thrombosis Long-standing pain
Damage:
- sacral nerve roots
- iliac vessels
Clinical features of pelvic fractures
Sudden severe pain
Poorly localised to the hip/pelvis
Mechanism of injury of pelvic fracture
Blunt trauma
- road traffic accident
- fall from height
Ix for pelvic fracture
Full neurovascular assessment of lower limbs
- check anal tone
Initial trauma survey - abdo urethral injuries and open fractures
ATLS
3 Xrays - AP, inlet and outlet
CT Scan
Internal open fracture
Fracture into vagina or rectum
Mx of pelvic fracture
ATLS
Pelvic binder - stabalise
Xray
Indication for surgery in a pelvic fracture
Life-threatening haemorrhage
Unstable fractures
Open fractures
Associated with urological symptoms
Mechanism of injury for acetabular fracture
High energy - road traffic accident or significant fall
Clinical features of acetabular fractures
Significant pain
Swelling
Inability to weight bear
Associated injuries with an acetabular fracture
Hip dislocation
Femoral neck fracture
Morel Lavallée Lesion
Skin and subcutaneous tissues separate from the underlying fascia due to trauma.
Produces potential space superficial to the fascia -fills with fluid.
May spontaneously resolve or become encapsulated and persistent
Investigations of acetabular fractures
ATLS
Xray - AP, Judet view and obturator oblique view
CT
Managment of acetabular fractures
ATLS
Hip dislocation reduced urgently
Nondisplaced or minimally displaced - conservative
- protected weight-bearing for 6 - 8 weeks
Displaced - surgical management
- fixation
- total hip replacement
Complications of acetabular fractures
Venous thrombosis
OA
