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Trauma
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Open Book Pelvis Injuries

Pelvis and Acetabulum

A 28-year-old male motorcyclist is brought to the trauma bay after a high-speed collision. His blood pressure is 85/60 mmHg despite 2 liters of crystalloid. Clinical examination reveals pelvic instability with lateral compression causing pain. AP pelvis radiograph shows 5cm pubic symphysis diastasis with widening of the right sacroiliac joint. Regarding open book (APC) pelvic injuries:

Mark each as TRUE or FALSE

A

Anteroposterior compression (APC) injuries are caused by force applied to the anterior pelvis, resul...

B

Progressive ligamentous injury occurs as the pelvis opens: the symphyseal ligaments rupture first, f...

C

Open book injuries are inherently stable and never require emergency intervention; blood loss is min...

D

Initial resuscitation includes hemorrhage control with circumferential pelvic binder applied at the ...

E

Associated injuries in APC pelvis include bladder rupture (usually extraperitoneal), urethral injury...

Answer the questions to see explanations

Click T (True) or F (False) for each option