The Pelvis Flashcards

1
Q

What are stable fractures of the pelvis

A

those that do not enter the ring or which break it in one place
e.g. iliac wing or pubic bones

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2
Q

What are unstable fractures of the pelvic ring

A

Those in which the pelvic ring is disrupted in two or more places
e.g. through the waist of the ilium, the sacroiliac joint or sacrum

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3
Q

How are unstable fractures of the pelvis produced

A

by compression forces - crushed by machinery or run over by a vehicle

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4
Q

What is the treatment for a unstable pelvic fracture

A

external frame with bone screws introduced at various points around the iliac crest

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5
Q

How long does it take before stability is achieved in an unstable fracture

A

12 weeks of fixation

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6
Q

What is a major complication of a pelvic fracture

A

Haemorrhage - from the large plexus of vessels which line the inside of the pelvis

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7
Q

What is the treatment for a haemorrhage in a pelvic fracture

A

Blood transfusion

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8
Q

Why might a patient not be able to pass urine

A
fear 
shock 
pain 
damage to the bladder 
damage to the urethra
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9
Q

What might be helpful in making a diagnosis of a damaged urethra

A

Urethroscopy

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