Pelvic injuries T

Question 1

ISOLATED FRACTURE

1-Avulsion fractures

Answer 1

Small piece needs only bed rest and muscle rehabilitation .large displaced piece needs operative fixation for optimal functional results

Question 2

2-Direct fractures

Answer 2

Bed rest until pain subsides

Question 3

3-Stress fractures

Answer 3

It needs rest and Vit D supplementation

Question 4

Undisplaced ring fractures
These commonly include LC injuries involving a pubic ramus fracture anteriorly and an undisplaced sacral fracture posteriorly

Answer 4

Pain usually subsides after a few days, and patients can be mobilized partially weightbearing on the affected side for 6 weeks.

Question 5

Anteroposterior compression injuries
Open-book’ injuries involve anterior symphysis pubis widening and posterior sacroiliac joint (SIJ) disruption. Anteriorly, a wide symphysis is treated by open reduction and internal fixation, and posteriorly the SIJ injury is fixed with iliosacral screws.

Answer 5

Where patients have suffered bilateral rami fractures anteriorly and posterior sacral fractures, treatment is by using iliosacral screws posteriorly and an external fixator to stabilize the pelvic ring anteriorly

Question 6

Vertical shear fractures and displaced lateral compression fractures

Answer 6

Severe VS and LC injuries can be challenging. The fracture or dislocation must be reduced and then stabilized. Posteriorly, reduction is achieved with the use of either traction and percutaneous iliosacral screw fixation, or open reduction and internal fixation. Anteriorly, stabilization is achieved either by open reduction and internal fixation of the symphysis or the application of an external fixator.