pelvic fracture
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Etiology
- motor vehicle accidents (77%)
- falls, especially falls in the elderly (19%)
Epidemiology
- mean age 31 years (wide range)
- 77% males
Laboratory
- see osteoporotic fracture as indicated (falls in the elderly)
Radiology
- x-ray of pelvis (image)[2]
- also see osteoporotic fracture as indicated (falls in the elderly)
Complications
- death predicted by associated injuries, not fracture instability[1]
- 1/3 of patients with hemodynamically unstable pelvic fractures die[3]
Management
- for hemodynamically unstable pelvic fractures, only pelvic angioembolization is associated with reduced mortality (RR= 0.62)[3]
More general terms
More specific terms
References
- ↑ 1.0 1.1 Lunsjo K et al, Associated injuries and not fracture instability predict mortality in pelvis fractures: A prospective study of 100 patients. J Trauma 2007, 62:687 PMID: https://www.ncbi.nlm.nih.gov/pubmed/17414348
- ↑ 2.0 2.1 Tai TH, Chen CY Images in Clinical Medicine: Open-Book Pelvic Fracture. N Engl J Med 2021; 384:60. Jan 7. PMID: https://www.ncbi.nlm.nih.gov/pubmed/33406331 https://www.nejm.org/doi/full/10.1056/NEJMicm2013030
- ↑ 3.0 3.1 3.2 Anand T, El-Qawaqzeh K, Nelson A et al Association Between Hemorrhage Control Interventions and Mortality in US Trauma Patients With Hemodynamically Unstable Pelvic Fractures. JAMA Surg. Published online Nov 30, 2022. PMID: https://www.ncbi.nlm.nih.gov/pubmed/36449300 https://jamanetwork.com/journals/jamasurgery/fullarticle/2799004