Pelvic Fracture Flashcards
1
Q
AETIOLOGY
Common cause
A
- Major fractures by major trauma such as RTA, crush injuries or falls from height
- Less severe (undisplaced) by falls, usually in older with osteoporosis
2
Q
CLINICAL FEATURES
Presentation
A
- Significant pain and swelling around pelvis
- Obvious pelvic deformity
3
Q
What are avulsion fractures
A
- Tendon of muscle comes away from bone, taking small chip of bone with it
4
Q
Most common sites for avulsion fractures
A
- Anterior superior iliac spine (sartorius)
- Anterior inferior iliac spine (rectus femoris)
- Ischial tuberosity (hamstring)
5
Q
Presentation of avulsion fracture
A
- Sudden severe pain, poorly localised to hip/pelvis
- Felt whilst performing rapid, powerful movement such as starting to run
6
Q
Treatment of avulsion fracture
A
Conservatiively, unless significant displacement
7
Q
MANAGEMENT
General principles
A
- Primary survery to identify lifethreatening injuries
- Management of hypovolaemia (significant blood loss associated)
- Anticoagulants
- Definitive management either conservatively or operatively
8
Q
MANAGEMENT
Indications for operative surgery
A
- Life threatening haemorrhage
- Unstable fracture
- Open fracture
- Urological injury
