$acetabular fracture$

$acetabular fracture$

Undisplaced acetabular fractures managed conservatively will require a non-weight-bearing period under close radiological supervision. Nonoperative management is likely to be appropriate for simple nondisplaced fractures of the anterior ring, and avulsion fractures, but this should be arranged in close consultation with the orthopaedic service.Īny displaced fractures of the acetabulum will also require careful orthopaedic surgical management (with any fracture-dislocations being reduced urgently). This may be with a staged approach with emergent external fixation on the day of injury to stabilise the fracture and the patient and later definitive fixation, when the clinical situation has stabilised. Where a fracture is displaced or unstable as outlined above, surgical management is highly likely to be necessary. When is reduction (non-operative and operative) required? More subtle non-displaced left acetabular fracture after minor trauma 7. The lateral force has also caused contralateral Left SI joint diastasis and pubic rami fractures, with the shape leading to the term “windswept pelvis”.įracture of left acetabulum with intact pelvic ring. Lateral Compression fracture with fracture through right Iliac wing and the right pubic rami (obscured by pelvic binder)Īnother Lateral Compression fracture with diastasis right SI joint, fracture left superior and inferior SI joints. Torode IV injury with pubic diastasis and SI joint disruption L: undisplaced superior ramus # R (Torode & Zeig III) R: displaced R and L inferior and superior rami# (Torode&Zeig III)įracture near left SI joint and fracture through left superior and inferior pubic rami Immature Pelvis: Torode & Zeig II Iliac wing fracture , left Specialised radiological investigation may be required if a urethral injury is suspected or there is suspicion of open fracture via vaginal or rectal injuries. What radiological investigations should be ordered?Īn AP Pelvis X-Ray should be obtained as early as practical as part of the secondary survey in significant trauma.ĬT will give more detail of any unstable pelvic fracture and will assist with operative planning as well as being useful for detecting other traumatic injuries. bruising or swelling over the pelvic prominencesĥ.Specific signs suggestive of pelvic fracture are lower limb deformity or neurological abnormality, or.

$acetabular fracture$

Pelvic fracture should be suspected in any polytrauma patient particularly where there is They may also occur from straddle injuries. They are most often caused by a high-force mechanism such as a motor-vehicle accident or a fall from a height, hence the importance of managing these injuries within established trauma protocols.

$acetabular fracture$

Fractures of the pelvic ring and acetabulum have an incidence of approximately 00 children per year. Pelvic injuries in children are relatively uncommon. How common are they and how do they occur? Gross pubic symphysis widening and anterior sacroiliac joint diastasisĭisruption of posterior and anterior sacroiliac ligamentsĬomplete disruption of SI joint and anterior ring fractureģ. Lateral compression fracture with contralateral anterior compression pattern Ramus fracture with posterior iliac fracture-dislocation Ramus fracture with sacral ala compression fracture Young & Burgess Fracture classification (adult injury patterns) Fracture type Simple ring fracture with either pubic symphysis disruption or pubic ramus fractureĬombined posterior and anterior ring fractures or joint disruption.Ĭan include combined ring and acetabular fractures, and straddle injuries with bilateral superior & inferior pubic ramus fractures Torode and Zieg classification (for Torode & Zieg Type I avulsion injuries see pelvic avulsion injuries Young-Burgess classification for the skeletally mature pelvis (triradiate cartilage closed).Torode and Zieg classification for the immature pelvis (triradiate cartilage closed).Stability (any displaced posterior ring injury, break in both anterior and posterior pelvic ring or misshapen pelvis represents an unstable injury).Maturity (as a rough guide, look to see if the triradiate cartilage has yet closed).Pelvis fractures can be classified according to: This guideline will discuss management of specific pelvic injuries.Ĭlick here to access the RCH Paediatric Trauma ManualĬlick here for the guideline on Early Management of Pelvic Injuries in Children They can be associated with significant haemorrhage from co-existing vascular injury or other associated injuries, and it is vital the patient is approached in a systematic fashion appropriate for trauma care, well before any radiological confirmation of injury. Major pelvic fractures often caused by a high degree of force and often occur in a patient with multiple traumatic injuries.

$acetabular fracture$

Acetabular fracture