Pelvic Trauma
A 35-year-old motorcyclist is brought to the emergency department after a high-speed collision. He is hemodynamically unstable with a blood pressure of 80/50 mmHg despite 2L crystalloid. Pelvic radiograph shows widening of the pubic symphysis to 5cm with bilateral sacroiliac joint disruption. On examination, the pelvis is unstable to lateral compression and vertical stress. CT confirms complete disruption of both SI joints with vertical displacement of the right hemipelvis. Regarding pelvic ring injuries and the Tile classification:
Mark each as TRUE or FALSE
The Tile classification is based on pelvic ring stability: Type A (stable - intact posterior ring), ...
Type B injuries include B1 (open book/external rotation with unilateral partial SI disruption or sac...
Type A injuries are the most unstable; Type C injuries are rotationally stable; lateral compression ...
Type C injuries involve complete posterior ring disruption (C1 unilateral, C2 bilateral, C3 with ace...
Initial management follows ATLS principles with pelvic binder application at the level of the greate...
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Click T (True) or F (False) for each option