Specialized trauma care in the acute period of trauma for a victim with unstable pelvic ring injury and acute acetabulum fracture

We report a case of a unilateral testicular dislocation to the superficial inguinal region associated with a lateral compression type pelvic ring injury (OTA classification 61-C3.3a2, b2, c3) and left T-shaped acetabulum fracture (OTA classification 62-B2) in a 44-year-old male who was in a motorcycle accident. The testicular dislocation was noted during the emergency department primary survey, and its location and viability were verified with ultrasound. The testicle was isolated during surgical stabilization of the left acetabulum through a Pfannenstiel incision and modified-Stoppa approach and returned through the inguinal canal to the scrotum. In follow-up, the patient did not suffer urologic or sexual dysfunction. All motorcycle collision patients presenting with pelvic ring injuries or acetabulum fractures should be worked up for possible testicular dislocation with a scrotal exam. Advanced imaging and a urologic consult may be necessary to detect and treat these injuries.

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Fractures of the transverse processes of the fourth and fifth lumbar vertebrae in patients with pelvic ring injuries

The Bone & Joint Journal ◽

10.1302/0301-620x.100b9.bjj-2018-0071.r1 ◽

2018 ◽

Vol 100-B (9) ◽

pp. 1214-1219 ◽

Cited By ~ 5

Author(s):

M. Winkelmann ◽

M. Lopez Izquierdo ◽

J-D. Clausen ◽

E. Liodakis ◽

P. Mommsen ◽

...

Keyword(s):

Pelvic Fracture ◽

Pelvic Ring ◽

Lumbar Vertebrae ◽

Transverse Process ◽

Trauma Centre ◽

Pelvic Injury ◽

Matched Pair ◽

Haemodynamic Instability ◽

Pelvic Ring Injury ◽

Pelvic Ring Injuries

Aims This study aimed to analyze the correlation between transverse process (TP) fractures of the fourth (L4) and fifth (L5) lumbar vertebrae and biomechanical and haemodynamic stability in patients with a pelvic ring injury, since previous data are inconsistent. Patients and Methods The study is a retrospective matched-pair analysis of patients with a pelvic fracture according to the modified Tile AO Müller and the Young and Burgess classification who presented to a level 1 trauma centre between January 2005 and December 2014. Results A total of 728 patients with pelvic ring injuries were included, of whom 183 (25.1%) had a biomechanically unstable pelvic fracture. Of these patients, 84 (45.9%) had a fracture of a TP of L4 and/or L5. A total of 73 patients (13.4%) with a stable pelvic ring injury (p < 0.001) had a fracture of a TP. Patients with a fracture of a TP of L4 and/or L5 had a 5.5-fold risk (odds ratio (OR)) of having a biomechanically unstable pelvic injury. TP fractures (OR 1.6, p = 0.2) could not be confirmed as an independent predictor of haemodynamic instability. Conclusion This is the first study that has demonstrated a positive correlation between a TP fracture of L4 and/or L5 and a biomechanically unstable pelvic ring injury. The presence of transverse process fractures of L4 and/or L5 indicates increased severity of pelvic injury and therefore can help in the planning of emergency treatment. Cite this article: Bone Joint J 2018;100-B:1214–19.

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Functional outcome of ‘LC-1 pelvic ring injury with incomplete sacral fracture’ managed non-operatively

Journal of Clinical Orthopaedics and Trauma ◽

10.1016/j.jcot.2019.09.013 ◽

2020 ◽

Vol 11 ◽

pp. S1-S3

Author(s):

Ashwani Soni ◽

Ravi Gupta ◽

Love Kapoor ◽

Saurabh Vashisht

Keyword(s):

Functional Outcome ◽

Pelvic Ring ◽

Sacral Fracture ◽

Pelvic Ring Injury

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Emergent Stabilization of Pelvic Bones Fractures in Polytrauma

N N Priorov Journal of Traumatology and Orthopedics ◽

10.32414/0869-8678-2014-1-19-25 ◽

2014 ◽

pp. 19-25 ◽

Cited By ~ 3

Author(s):

E. A. Litvina

Keyword(s):

General Condition ◽

Pelvic Ring ◽

Damage Control ◽

Pelvic Injury ◽

Treatment Concept ◽

Concomitant Injuries ◽

Surgical Interventions ◽

Acute Period ◽

Pelvic Injuries ◽

Modern Treatment

Principle aspects of the management of patients with concomitant pelvic injury and injuries of other localization from the standpoint of modern treatment concept Damage control are discussed. Special attention are paid to the techniques for pelvic ring fixation, arrest of intrapelvic hemorrhage, sequence of surgical interventions depending on the pattern of concomitant injuries. The necessity of emergent pelvic injuries fixation with external devices as well as the fractures of other localization in the acute period until stabilization of patient’s general condition is substantiated

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Emergent Stabilization of Pelvic Bones Fractures in Polytrauma

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto20140119-25 ◽

2014 ◽

Vol 21 (1) ◽

pp. 19-25

Author(s):

E. A Litvina

Keyword(s):

General Condition ◽

Pelvic Ring ◽

Damage Control ◽

Pelvic Injury ◽

Treatment Concept ◽

Concomitant Injuries ◽

Surgical Interventions ◽

Acute Period ◽

Pelvic Injuries ◽

Modern Treatment

Principle aspects of the management of patients with concomitant pelvic injury and injuries of other localization from the standpoint of modern treatment concept Damage control are discussed. Special attention are paid to the techniques for pelvic ring fixation, arrest of intrapelvic hemorrhage, sequence of surgical interventions depending on the pattern of concomitant injuries. The necessity of emergent pelvic injuries fixation with external devices as well as the fractures of other localization in the acute period until stabilization of patient’s general condition is substantiated

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