This article is about fractures of nonacetabular portions of the pelvis. For fractures of the proximal femur, see Hip fracture. For fractures of the acetabulum, see Acetabular fracture.
Falls, motor vehicle collisions, vehicle hitting a pedestrian, crush injury[2]
Risk factors
Osteoporosis[1]
Diagnostic method
Based on symptoms, confirmed by X-rays or CT scan[1]
Differential diagnosis
Femur fracture, vertebral fracture, low back pain[4]
Treatment
Bleeding control (pelvic binder, angiographic embolization, preperitoneal packing), fluid replacement[2]
Medication
Pain medication[1]
Prognosis
Stable: Good[1] Unstable: Risk of death ~15%[2]
Frequency
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]
Common causes include falls, motor vehicle collisions, a vehicle hitting a pedestrian, or a direct crush injury.[2] In younger people significant trauma is typically required while in older people less significant trauma can result in a fracture.[1] They are divided into two types: stable and unstable.[1] Unstable fractures are further divided into anterior posterior compression, lateral compression, vertical shear, and combined mechanism fractures.[2][1] Diagnosis is suspected based on symptoms and examination with confirmation by X-rays or CT scan.[1] If a person is fully awake and has no pain of the pelvis medical imaging is not needed.[2]
Emergency treatment generally follows advanced trauma life support.[2] This begins with efforts to stop bleeding and replace fluids.[2] Bleeding control may be achieved by using a pelvic binder or bed-sheet to support the pelvis.[2] Other efforts may include angiographic embolization or preperitoneal packing.[2] After stabilization, the pelvis may require surgical reconstruction.[2]
Pelvic fractures make up around 3% of adult fractures.[1] Stable fractures generally have a good outcome.[1] The risk of death with an unstable fracture is about 15%, while those who also have low blood pressure have a risk of death approaching 50%.[2][4] Unstable fractures are often associated with injuries to other parts of the body.[3]
^ abcdefghijklmnop"Pelvic Fractures". OrthoInfo - AAOS. February 2016. Retrieved 17 May 2018.
^ abcdefghijklmnATLS - Advanced Trauma Life Support - Student Course Manual (10 ed.). American College of Surgeons. 2018. pp. 89, 96–97. ISBN 9780996826235.
^ abcPeitzman, Andrew B.; Rhodes, Michael; Schwab, C. William (2008). The Trauma Manual: Trauma and Acute Care Surgery. Lippincott Williams & Wilkins. p. 322. ISBN 9780781762755.
^ abWalls, Ron; Hockberger, Robert; Gausche-Hill, Marianne (2017). Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book. Elsevier Health Sciences. pp. 577, 588. ISBN 9780323390163.
A pelvicfracture is a break of the bony structure of the pelvis. This includes any break of the sacrum, hip bones (ischium, pubis, ilium), or tailbone...
A pelvic binder is a device used to compress the pelvis in people with a pelvicfracture in an effort to stop bleeding. A pelvic binder is used to reduce...
(sometimes also called pelvic region), together with its embedded skeleton (sometimes also called bony pelvis or pelvic skeleton). The pelvic region of the trunk...
ribs. Fractures of the hip bone are termed pelvicfractures, and should not be confused with hip fractures, which are actually femoral fractures that occur...
Broken finger – a fracture of the carpal phalanges PelvicfractureFracture of the hip bone Duverney fracture – an isolated pelvicfracture involving only...
organs, and the rectum. One of the primary concerns is the risk of pelvicfracture, which itself is associated with a myriad of complications including...
these factors. Certain medical conditions may distort pelvic bones, such as rickets or a pelvicfracture, and lead to CPD. Transverse diagonal measurement...
The Segond fracture is a type of avulsion fracture (soft tissue structures pulling off fragments of their bony attachment) from the lateral tibial plateau...
to provide further details. Injuries to the urethra (e.g., from a pelvicfracture) Foreign bodies in the urethra are uncommon, but there have been medical...
divided into two sub-types; Pelvicfracture-associated urethral disruption occurs in as many as 15% of severe pelvicfractures. These injuries are typically...
variation, may refer to: Macintosh LC II, 1990s personal computer LC II pelvicfracture in the Young-Burgess classification Local Council II, a type of local...
The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated...
is a system of categorizing pelvicfractures based on fracture pattern, allowing judgment on the stability of the pelvic ring. Young-Burgess classification...
one of his skis became trapped. Reinstadler suffered a significant pelvicfracture and severe internal injuries and bleeding. He died later the same night...
penile injury, incorrect catheter insertion, straddle injury, or pelvic girdle fracture. The urethra, the muscular tube that allows for urination, may be...
Eponymous fractures and fracture-dislocations are most commonly named after the doctor who first described them. They may also be named after an activity...
Duverney fractures are isolated pelvicfractures involving only the iliac wing. They are caused by direct trauma to the iliac wing, and are generally...
16. When he was 15 he had a bicycle accident which caused a serious pelvicfracture. The accident stopped his right leg from growing, leaving it about...
takes to achieve hemostasis in people with traumatic causes (e.g. pelvicfracture) and non-traumatic causes (e.g. gastrointestinal bleeding, ruptured...
classification is a system of categorizing sacral fractures. Denis F, Davis S, Comfort T (Feb 1988). "Sacral fractures: an important problem. Retrospective analysis...
is also used in Stoppa approach for orthopedics surgeries to treat pelvicfractures. The Pfannenstiel incision offers a large view of the central pelvis...
syndrome) pelvic instability fracture (extremely rare and usually with other factors) injury to the clunial nerves (this will cause posterior pelvic pain which...
"Association of 3 Different Antihypertensive Medications With Hip and PelvicFracture Risk in Older Adults: Secondary Analysis of a Randomized Clinical Trial"...
or III open fractures) Soft tissue injury (e.g., burns) Acetabular and pelvicfractures Severely comminuted and unstable fracturesFractures that are associated...
An occult fracture is a fracture that is not readily visible, generally in regard to projectional radiography ("X-ray"). Radiographically, occult and subtle...
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