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Open Pelvic Fractures

May 5, 2008 By 2 Comments

Open pelvic trauma has been associated with high mortality in the past. Recent studies have suggested that mortality is similar to to the closed injuries. Pelvis fracture is an emergency situation itself. If associated with open wounds, there is considerable danger of bleeding to death if immediate medical services are not available.

Open fracture can result from the wound due to external force or the broken bone cutting the skin from inside out.

The principal sites for the open fracture and associated wounds are:

Rami: Perineal laceration, Urethra or bladder injury
Sarcum: Presacral laceration, rectal laceration
Ilium: Blunt trauma, missile, small bowel laceration [Read more...]

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Pelvic Fractures-Associated Blood Loss and Therapeutic Intervention

May 5, 2008 By Leave a Comment

At the time of a traumatically induced pelvic fracture, some degree of hemorrhage is inevitable. The principal sites of bleeding are outlined. The anticipated sites of major hemorrhage correlate with the region of the pelvis fracture, the vector of the provocative blow, and the magnitude of pelvic displacement.

For example, a displaced fracture of the posterior ilium that exists through the roof of the greater sciatic notch is likely to be associated with an injury to the superior gluteal vessels. [Read more...]

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Fracture Pelvis-Mechanisms of Injury

May 4, 2008 By Leave a Comment

Patterns of fractures and dislocations of the pelvis are characterized by the force of blow, magnitude, and nature of adjacent soft-tissue disruption and the quality of the involved tissue. Depending on the intensity of the trauma there are different types of fracture pattern that might result.

Major Trauma

Depending on the vector and magnitude of the provocative blow, specific injury patterns are likely to ensue that involve diverse supportive elements of the pelvic ring. The injury patterns are may be

  • The external rotation injuries or lateral compression injury
  • Crushing injury.

Fall of a log over pelvis results in compression fractures.

Source of Violent or Major Trauma to the Pelvis are [Read more...]

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Displaced Fractures of the Pelvic Ring-An Overview

May 3, 2008 By Leave a Comment

Displaced fractures of the pelvic ring constitute a diverse group of skeletal injuries that usually result from motor-vehicle accidents, industrial trauma, sporting events, or falls from great heights.

The typical pelvic ring disruption is notable for the immense amount of force needed to provoke a displacement of the pelvic ring.

A patient who sustains such an injury is likely to present with other serious or life-threatening injuries involving the musculoskeletal, respiratory, central nervous, gastrointestinal, urologic, and cardiovascular systems.

The management of a pelvic ring fracture, requires concomitant diagnosis and treatment of the other systemic and musculoskeletal injuries. [Read more...]

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