Pelvic Frac Flashcards
1
Q
Types
A
Pelvic ring frac- ring disrup means worse prog SI disloc Crescent fracs Sacral fracs Ilium fracs Acetabular fracs
2
Q
Stabil
A
Single fracs from eld falls often stable and req few wk rest.
2 or more fracs (with one above lev of hip) means ring unstable. Means serious inj and over 25% have int inj.
3
Q
Signs
A
Leg length discrep Abdo distens Loin bruising Perineal or scrotal haematoma PV bleed Palpab haematoma or frac line on PR/PV exam (rectal inj comm 5% and assoc with spesis risk).
4
Q
Risks
A
GU inj
Blood loss
Assoc visc inj
5
Q
Mech
A
Anteropost comp causes open book or sprung pelvis frac.
Lat comp causes windswept pelvis.
Vertical shear causes malgaigne or bucket handle frac.
Combined mech forces causes complex frac.
6
Q
Isolated stable fracs
A
Acetabular
Pubic ramus
Iliac wing duverny
Avulsion eg ASIS, iliac crest, ischial tuberosity
7
Q
Complics/assocs
A
Retroperit haemorrhage
Bladder rupt
Urethral rupt
8
Q
ix
A
XR and CT req
9
Q
mx deps on locat and complexity
A
Simple ramal frac immob
Multi part acetab frac reconstruc
Complex pelvic ring frac ext fix
