Pelvic Trauma
A 32-year-old motorcyclist is brought to the emergency department after a high-speed collision. He is hemodynamically unstable with blood pressure 85/50 despite 2L crystalloid. Examination reveals pelvic instability on compression. AP pelvic radiograph shows widening of the pubic symphysis (6cm diastasis), disruption of the left sacroiliac joint, and lateral displacement of the left hemipelvis. FAST scan is negative for intra-abdominal free fluid. Regarding pelvic fracture classification and management:
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The Young-Burgess classification is based on mechanism of injury: Lateral Compression (LC - internal...
The Tile classification is based on stability: Type A (stable - intact posterior ring), Type B (rota...
Lateral compression injuries have the highest blood loss; APC injuries cause internal rotation; vert...
Initial management of hemodynamically unstable pelvic fractures includes pelvic binder application (...
Definitive fixation depends on injury pattern: anterior ring (symphysis plating, external fixation),...
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