Pelvic Injuries

Authors: Shella Kwok, Riad Hosein / Editor: Lauren Fraser / Codes: / Published: 28/11/2022

This session is about the assessment and complex management of patients with pelvic injury in the emergency department (ED).

Learning Objectives:

  • Identify the anatomy of the pelvis
  • Understand the mechanism of pelvic injury
  • Differentiate different types of pelvic fractures
  • Demonstrate management of pelvic injury
  • Recognise other potential injuries and complications
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References

  1. Lee C, Porter K. The prehospital management of pelvic fractures. Emerg Med J. 2007 Feb;24(2):130-3.
  2. Molire S, Dosch JC, Bierry G. Pelvic, acetabular and hip fractures: What the surgeon should expect from the radiologist. Diagn Interv Imaging. 2016 Jul-Aug;97(7-8):709-23.
  3. National Institute for Health and Care Excellence. Fractures (complex): assessment and management. NICE [NG37]. 2016. Last updated Nov 2017.
  4. Nickson C. Pelvic Trauma. Life in the Fast Lane, 2020.
  5. White CE, Hsu JR, Holcomb JB. Haemodynamically unstable pelvic fractures. Injury. 2009 Oct;40(10):1023-30.
  6. Naseem H, Nesbitt PD, et al. An assessment of pelvic binder placement at a UK major trauma centre. Ann R Coll Surg Engl. 2018 Feb;100(2):101-105.
  7. Pieper A, Thony F, Brun J, Rodire M, et al. Resuscitative endovascular balloon occlusion of the aorta for pelvic blunt trauma and life-threatening hemorrhage: A 20-year experience in a Level I trauma center. J Trauma Acute Care Surg. 2018 Mar;84(3):449-453.
  8. Scott I, et al. The Pre-Hospital Management of Pelvic Fractures: Initial Consensus Statement. The Royal College of Surgeons of Edinburgh.
  9. Teach me anatomy. The Pelvis.
  10. Lierse, W. Structural and Functional Anatomy of the Pelvis. In: Applied Anatomy of the Pelvis. Springer, 1987. Berlin, Heidelberg.
  11. Khurana B, Sheehan SE, Sodickson AD, Weaver MJ. Pelvic ring fractures: what the orthopedic surgeon wants to know. Radiographics. 2014 Sep-Oct;34(5):1317-33.
  12. Tile M. Acute Pelvic Fractures: I. Causation and Classification. J Am Acad Orthop Surg. 1996 May;4(3):143-151. doi: 10.5435/00124635-199605000-00004.
  13. Landing page image from: Wiznia DH, Wang M, et al. Traumatic Testicular Dislocation Associated with Lateral Compression Pelvic Ring Injury and T-Shaped Acetabulum Fracture. Case Rep Orthop. 2016;2016:9706392.

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