Pelvic Trauma
A 28-year-old construction worker falls 6 meters from scaffolding, landing on his extended right leg. On arrival to ED, he is hemodynamically unstable with BP 80/50, HR 130. Primary survey reveals a 3cm leg length discrepancy with the right leg appearing shorter. There is scrotal hematoma (Destot sign). Pelvic radiograph shows vertical displacement of the right hemipelvis with widening of the right SI joint and superior ramus fracture. Regarding vertical shear pelvic injuries:
Mark each as TRUE or FALSE
Vertical shear (VS) injuries in the Young-Burgess classification result from axial loading on an ext...
Clinical signs of VS injury include: limb length discrepancy (pathognomonic - hemipelvis migrates ce...
Vertical shear injuries can be managed conservatively with bed rest and traction in most cases; pelv...
Surgical management of VS injuries requires fixation of BOTH anterior AND posterior ring: anterior f...
VS injuries must be differentiated from LC-III and APC-III which also involve complete ring disrupti...
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Click T (True) or F (False) for each option