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3% of adult fractures [1] A pelvic fracture is a break of the bony structure of the pelvis. [1] This includes any break of the sacrum, hip bones (ischium, pubis, ilium), or tailbone. [1] Symptoms include pain, particularly with movement. [1] Complications may include internal bleeding, injury to the bladder, or vaginal trauma. [2][3]
These fractures tend to be very painful, so walking aids such as crutches or walking frames may be needed until the pain settles. [3] Open reduction internal fixation is sometimes required to correct deformity, [4] and surgery may be required if there is damage to blood vessels, nerves or organs, or if the fracture is open. [3]
Young–Burgess classification. The Young–Burgess classification is a system of categorizing pelvic fractures based on the vector of applied force at the time of injury and degree of resulting disruption, allowing judgment on the stability of the pelvic ring and prediction of associated blood loss. [1]
A pelvic binder is used to reduce haemorrhage after a pelvic fracture. [2] It is used in the majority of patients where a ring fracture to the pelvis is suspected by paramedics or physicians. [2] A pelvic binder is recommended for open book pelvic fractures. [3] It might not be useful in people with lateral compression pelvic fractures.
Pubic symphysis diastasis (also known as diastasis symphysis pubis) is the separation of normally joined pubic bones, as in the dislocation of the bones, without a fracture that measures radiologically more than 10 mm. Separation of the symphysis pubis is a rare pathology associated with childbirth and has an incidence of 1 in 300 to 1 in 30,000 births.
An open fracture, also called a compound fracture, is a type of bone fracture (broken bone) that has an open wound in the skin near the fractured bone. The skin wound is usually caused by the bone breaking through the surface of the skin. An open fracture can be life threatening or limb-threatening (person may be at risk of losing a limb) due ...
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Occult fracture. An occult fracture is a fracture that is not readily visible, generally in regard to projectional radiography ("X-ray"). Radiographically, occult and subtle fractures are a diagnostic challenge. They may be divided into 1) high energy trauma fracture, 2) fatigue fracture from cyclical and sustained mechanical stress, and 3 ...