-
Isolated
injuries to the pelvic cavity
or girdle causing displaced single fractures, mostly through fall in sports.
For example, horse riding. -
Severe
violence to pelvis as in fall from height or being run over by vehicle which
cause displacement of fracture.
-
Displacement
must occur if there are more than one single fracture.
-
Dislocation
of sacroiliac joint or
pubic symphysis occurs with usually one single
fracture- both leading to displacement.
-
History:
Fall from height, RTA and violence.
-
General
Examination:
-
X-ray:
-
Single
displaced fractures can be treated with surgical excision of small fragment.
- See if soft tissue injuries exist- e.g. urethral damage etc.
-
Reduce
displacement through the use of skeletal traction applied through
tibial
tuberosity.
-
Then
use hip spica or pelvic sling to immobilize for 8-10 weeks
| Fractures of
pubis and
ilium Click for anatomy |
Dislocation of pubic symphysis and sacroiliac joint |
| Fracture of lium and dislocation of pubic symphysis. |
©
Electronic School of Medicine
