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Fracture of Pubic Bone – Anteroposterior View Of Pelvis

June 26, 2010 By Dr Arun Pal Singh Leave a Comment

47 years old lady was hit by a tractor trolley resulting in fall. The lady was brought to casualty with complaints of pain in back and around the hip. She was not able to bear weight on right lower limb. Xrays of back and pelvis were done fter initial assessment.

The xray of spine was normal. Xray pelvis revealed following picture.

The xray showed fracture of pubis bone [Arrows show the extent].

The patient is being managed with analgesics, supportive therapy and rest and is showing imporvement.

Popularity: 17% [?]

Filed Under: Musculoskeletal Radiology, Orthopaedic Images, Pelvic Fractures Tagged With: fracture of pubis bone, fractures of pelvis, pubic bone fracture, pubis fracture, Trauma

Fracture of Ilium In 50 Years Old Lady – Anteroposterior View Pelvis

May 13, 2010 By Dr Arun Pal Singh Leave a Comment

Ilium bone is an important bone of the pelvis. The bone is one the three bones that form hemipelvis. It is a quite frequent bone to be fractured.
This xray represents a53 year olod lady who fell from stairs. She suffered fracture of left clavicle and left ilium.

The xray shows an undisplaced fracture of left ilium. The fracture was managed conservatively.

Popularity: 5% [?]

Filed Under: Musculoskeletal Radiology, Orthopaedic Images, Pelvic Fractures Tagged With: fracture of ilium, Pelvic fracture, undisplaced fracture ilium

Acetabular Fractures-When They Should Be Operated?

May 10, 2008 By Dr Arun Pal Singh Leave a Comment

For most displaced acetabulum fractures, surgical reduction is indicated with an aim to decrease the incidence of posttraumatic arthritis.

It also permits the patient to return to normal function earlier than nonoperative treatment.

Nonoperative treatment used in a minority of displaced acetabulum fractures. Indications for nonoperative treatment are based on

  • Patient condition
  • Fracture configuration
  • Congruence of the hip joint.

Nonoperative treatment is reserved for patients with nondisplaced fracture, those with tolerable incongruity or displacement, and those in whom surgery is contraindicated. [Read more...]

Popularity: 4% [?]

Filed Under: Pelvic Fractures Tagged With: acetabular, acetabulum, hematoma, Indication for Surgery, nondisplacement, nonoperative, Pelvic fracture, postoperative, posttraumatic, preoperative

Complications of Pelvic Fractures

May 9, 2008 By Dr Arun Pal Singh Leave a Comment

Apart from excessive  bleeding that results from the injury there are many other complications of pelvic fracture which can be directly related injury or as an indirect result. There are other complications which may be related to the treatment.

Complications related To Treatment

Most complications of extenral fixation are the result of pin loosening or infection, and inadequacies of the reduction and fixation. Improper insertion and location of fixation pins in the ilium usually results in early loss of fixation. This leads to pain, loss of reduction, and pin-track infection. [Read more...]

Popularity: 5% [?]

Filed Under: Pelvic Fractures Tagged With: Complications, external fixation, gynecologic, internal fixation, malunion, neurologic, nonunion, pelvic pain, symptomatic hardware, thromboembolism, uncontrolled hemorrhage, urologic

Pelvic Fractures-Clinical and Radiograhic Assessment

May 9, 2008 By Dr Arun Pal Singh Leave a Comment

Before treating pelvic disruption it is prudent to characterize the injury by its clinical and radiologic features.Clinical and Radiographic assessment of the pelvic fracture victim. Patient should be cilnically examined to look for open wounds, deformities, neurovascular assessment, and uogenital and rectal injury

Radiologic evaluation is carried out by plain xrays (anteroposterior, inlet, outlet, Judet views), computed tomography, fluoroscopy and stress views. In case of need specialized imaging like 3D CT, angiogram, magnetic resonance imaging can be done. [Read more...]

Popularity: 5% [?]

Filed Under: Pelvic Fractures Tagged With: anetroposterior, clinical assessment, computer tomography, CT, dimensional, Pelvic fracture, pelvic trauma, radiographic assessment

Pelvic Fractures-An Outline of Management of Urologic Injury

May 8, 2008 By Dr Arun Pal Singh Leave a Comment

A Foley’s Catheter is routinely used to document urinary output as a crucial determinant of adequate volume resuscitation in trauma.

In the presence of a major pelvic fracture, urinary catheterization requires special requires special consideration.

The incidence of concomitant injury to the bladder or urethra is about 20 percent.

if there is any suspicion of a urethral injury in male patients, it is advisable to obtain a urethrogram because Attempts to pass a catheter blindly through a partially disrupted male urethra can aggravate a partial tear and result in a stricture, incontinence, or impotence.

[Read more...]

Popularity: 3% [?]

Filed Under: Pelvic Fractures Tagged With: cystoscopy, hematoma, pyelogram, radiographic, suprapubic, urethral, urethral catheter, Urologic Managemen

Mechanisms of Injury to the Pelvic Ring

May 7, 2008 By Dr Arun Pal Singh Leave a Comment

Injury patterns correlate with the vector of the provocative blow. The force vectors and pelvic injury patterns also correlate with the anticipated patterns of additional injuries to the abdomen, intrapelvic contents, chest, and head, as well as with the potential for significant hemorrhage. [Read more...]

Popularity: 3% [?]

Filed Under: Pelvic Fractures Tagged With: anteroposterior, Mechanisms of Injury, Pelvic fracture, pelvic ring, pelvic trauma, radiograph, vertical

Pelvic Fracture-Asessment, Emergency Management and Definitive Treatment

May 7, 2008 By Dr Arun Pal Singh

In history of substantial trauma of any form, whether it is motor vehicular accident or fall from height should always alert the physician or health worker to rule out all life threatening conditions. As per protocol patient is assessed for airway, breathing and circulation at the sit of accident.

A head to toe examination is carried out to look for any gross injury in any other part of body.

Pelvis is tested by direct palpation,Pelvic Compression and Distraction Tests.

In case of injury the pelvis would reveal tenderness. If compressssion or distraction tests are positive for pelvis, it indicates instability of the pelvis.

If there is an overt bleeding , a pressure bandage should be applied. Pelvis should be quickly and temporarily stabilized by wrapping sheet a tightly around it and securing it with a clamp. [Read more...]

Popularity: 4% [?]

Filed Under: Pelvic Fractures Tagged With: angiography, Control of Hemorrhage, diagnosis of intraabdonminal, Emergent Pelvic Stabilization, pelvic fixation, Pelvic fracture, Surgical Control

Pelvic Fractures In Elderly Persons

May 6, 2008 By Dr Arun Pal Singh

Increasing number of aged people is having a profound impact on pelvic fracture management. As the number of elderly people increases, so would be old patients with increasing number of injuries.

Pelvic trauma in young individuals occur due to severe trauma in young individuals. However, the elderly people can get fractures with minor trauma due to weakened skeletal framework as a result of osteoporosis.The elderly experience higher mortality and late morbidity than younger patients with comparable injuries. [Read more...]

Popularity: 7% [?]

Filed Under: Pelvic Fractures Tagged With: aging population, geriatric comorbidities, Impact of Pelvic Fracture, major trauma, minor trauma, Osteoporosis, pelvic trauma

Urethral and OtherVisceral Injuries With Pelvic Trauma

May 6, 2008 By Dr Arun Pal Singh Leave a Comment

Visceral injuries are a potential source of life-threatening complications in a pelvic fracture. Injury to the lower urinary tract is a common consequence of a disruption of the anterior pelvic ring, and it can involve the ureter or, more commonly, the bladder and urethra.

Urogenital system injury (injury to urethra, bladder, kidney) occurs in as many as 25% of all cases involving disruption of the pelvic ring.

It is more common with bilateral pubic arch injury. Potential sites of visceral injury with a pelvic fracture. other potential sites of injury are

  • Large and small Intenstines
  • Bladder and urethra
  • Vagina
  • Rectum
  • Other intraabdominal structures

[Read more...]

Popularity: 3% [?]

Filed Under: Pelvic Fractures Tagged With: complete disruption, external fixation, injury, Pelvic fracture, pelvic trauma, Trauma, urethral, urologic, visceral injury
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