Emergency Medical Minute Podcast 692: Pelvic Fractures
Jul 13, 2021
04:13
Contributor: Peter Bakes, MD
Educational Pearls:
- Pelvis is comprised of the iliac, ischium, and sacrum
- Three mechanisms for pelvic fractures by Young-Burgess Classification
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- Anterior-posterior compression causing open-book pelvic fractures that can be complicated by retroperitoneal bleeding or urethral injury
- Lateral compression causing rami fractures
- Vertical sheer causing offset of sacroiliac joint or sacrum
- Mechanically stable pelvic ring fractures can be conservatively treated with weight bearing as tolerated
- Unstable fractures and those with complications will require operative fixation
References
Davis DD, Foris LA, Kane SM, et al. Pelvic Fracture. [Updated 2021 Feb 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430734/
Weatherford B. Pelvic Ring Fractures. OrthoBullets. Updated 25 May 2021. https://www.orthobullets.com/trauma/1030/pelvic-ring-fractures
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