Podcast 692: Pelvic Fractures

<p><strong>Contributor: Peter Bakes, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Pelvis is comprised of the iliac, ischium, and sacrum</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Three mechanisms for pelvic fractures by Young-Burgess Classification</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Anterior-posterior compression causing open-book pelvic fractures that can be complicated by retroperitoneal bleeding or urethral injury</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Lateral compression causing rami fractures</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Vertical sheer causing offset of sacroiliac joint or sacrum</span></li> </ul> </li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Mechanically stable pelvic ring fractures can be conservatively treated with weight bearing as tolerated</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Unstable fractures and those with complications will require operative fixation</span></li> </ul> <p><span style= "font-size: 10pt;"><strong>References</strong></span></p> <p><span style="font-weight: 400; font-size: 10pt;">Davis DD, Foris LA, Kane SM, et al. Pelvic Fracture. [Updated 2021 Feb 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430734/</span></p> <p><span style="font-size: 10pt;"><span style= "font-weight: 400;">Weatherford B. Pelvic Ring Fractures. OrthoBullets. Updated 25 May 2021.</span> <a href= "https://www.orthobullets.com/trauma/1030/pelvic-ring-fractures"><span style="font-weight: 400;"> https://www.orthobullets.com/trauma/1030/pelvic-ring-fractures</span></a></span></p>