Details pelvic fracture

1. SLIDE SHARE OF THE PELVIC FRACTURES_
By Dr. RAJ BHARDWAJ (PT)
UTTAR PRADESH UNIVERSITY OF MEDICAL
SCIENCES SAIFAI ETAWAH.
TOPIC _ PELVIC FRACTURES

2. ● Introduction.
● Classification.
● Pathology.
● Diagnosis.
● Treatments.

3. ● The pelvic is a ring shaped structure.
● It connected to front by the pubic
symphysis and behind by the sacro_iliac
joints.
● The pelvic ring is formed in continuity of
from the front by puvic symphysis, pubic
crest, pectineal line of pubis, arcuate line
of the ilium and ala and promontory of the
sacrum.

4. The obturator nerve and the sacral plexus
pass over the ala of the sacrum and cross
the pelvic brim.

6. CLASSIFICATION _
1. TYPE A _. STABLE.
1. TYPE B_. UNSTABLE FRACTURE.
1. TYPE C. _ UNSTABLE _ ROTATIONAL AND VERTICALLY

7. Type A _
1. Fracture of the pelvis not involving the ring.
2. Stable minimally displaced fracture of the ring.
Type B ROTATIONAL UNSTABLE,
VERTICALLY STABLE _
1 open book type.
2. Lateral compression _ ipsilateral.
3. Lateral compression _ contralateral (bucket _
handle type)

10. Type c ROTATIONALLY AND VERTICALLY
UNSTABLE _.
1 UNILATERAL.
2. BILATERAL.
3. ASSOCIATED.

11. TYPE A .INJURY _ ISOLATED FRACTURES _
1. Ischio_pubic rami fracture.
1. Iliac wing fracture.
1. Avulsion fracture of anterior inferior iliac spine.
1. Acetabular fracture.

12. Type B and C injuries (Ring disruption
injuries) _
Displacement _
1. External rotation of the hemi_pelvis .
2. Internal rotation of hemi_pelvis.
3. Rotation superiorly
4. Vertical displacement.

13. Diagnosis _
● Pelvic compression test _
● X ray .
● CT .
● MRI

14. TREATMENT _
a . An injury with minimal or no
displacement.
● Advised bed rest for 3_4 weeks.
● Gradual mobilisation.
● L
● Weight bearing us permitted.
● It takes from 6_8 weeks for the patient to be
up.
#. &

15. b. An injury with anterior opening of the pelvis
_
● External fixator.
● Internal fixator. Hammock _sling traction.
C. An injury with vertical displacement.
● Skeleton traction

16. COMPLICATIONS _
● Rapture of urethra.
● Rapture of bladder.
● Injury to rectum or vagina. Injury to Major
vessels.
● Injury to nerve.
● Rapture of the diaphragm.

17. Thank you