The Orthobullets Podcast Foundations⎪Trauma⎪Pelvic Ring Fractures
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Jul 13, 2025 Dive into the intricacies of pelvic ring fractures in a riveting discussion! Learn about their causes, and how to diagnose them effectively using advanced imaging techniques. The conversation also covers essential management strategies and presents clinical scenarios to illustrate surgical interventions. This informative session is packed with foundational knowledge geared toward frontline MSK providers, perfect for enhancing expertise in trauma care!
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Pelvic Ring Fracture Basics
- Pelvic ring fractures involve the sacrum and two innominate bones forming a ring.
- Displacement usually requires disruption in at least two places, indicating significant instability.
Initial Management and Resuscitation
- Resuscitate pelvic fracture patients with packed red blood cells, FFP, and platelets at a 1-to-1 ratio.
- Apply a pelvic binder centered over the greater trochanters for initial stabilization of unstable ring injuries.
Pelvic Binder Placement Advice
- Place pelvic binders at the level of the greater trochanters to effectively reduce pubic symphysis diastasis.
- Avoid binders in LC-type pelvic fractures and acetabular fractures to prevent worsening injuries.