Pelvic Trauma
A 35-year-old motorcyclist is brought to the emergency department after a high-speed collision. He is haemodynamically unstable with a blood pressure of 80/50mmHg and heart rate of 130/min. Pelvic radiograph shows widening of the pubic symphysis to 4cm with disruption of the right sacroiliac joint. There is external rotation of the right hemipelvis. FAST scan is negative. After initial resuscitation with blood products, he remains unstable. Regarding pelvic fractures:
Mark each as TRUE or FALSE
The Young-Burgess classification is based on mechanism: lateral compression (LC - internal rotation,...
The Tile classification assesses stability: Type A (stable - avulsion, iliac wing, isolated pubic ra...
Lateral compression injuries cause the most blood loss; the pelvis contracts in APC injuries; Tile A...
Haemorrhage control includes: pelvic binder application (at greater trochanter level, reduces volume...
Definitive fixation depends on injury pattern: symphyseal plating for pubic diastasis greater than 2...
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Click T (True) or F (False) for each option