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Pelvic fracture: Difference between revisions
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Low-energy fractures (elderly) are usually isolated and do not damage the integrity of the pelvic ring. High-energy fractures (young) usually damage the integrity of the pelvic ring, has more than one fracture, and has associated visceral and neurovascular injuries. | Low-energy fractures (elderly) are usually isolated and do not damage the integrity of the pelvic ring. High-energy fractures (young) usually damage the integrity of the pelvic ring, has more than one fracture, and has associated visceral and neurovascular injuries. | ||
These fractures are uncommon, with an incidence of 3 – 4 / 100 000 per year. Males are more often affected. The mortality is quite high in open pelvic fractures and is significant in closed fractures as well. Haemorrhage is the leading cause of death due to the proximity of major vessels to the pelvic ring. There is a high prevalence of poor functional outcome and chronic pain. | These fractures are uncommon, with an incidence of 3 – 4 / 100 000 per year. Males are more often affected. The mortality is quite high in open pelvic fractures and is significant in closed fractures as well. Haemorrhage is the leading cause of death due to the proximity of major vessels to the pelvic ring. There is a high prevalence of poor functional outcome and chronic pain.<section end="traumatology" /> | ||
''See also [[acetabular fracture]].'' | |||
<section end="traumatology" />''See also [[acetabular fracture]].''<section begin="traumatology" /> | <section begin="traumatology" /> | ||
== Clinical features == | == Clinical features == | ||
Symptoms include pelvic pain, especially with movement or weightbearing and reduced range of motion of the hip joint. Pelvis instability can be detected on physical examination. There may be associated haematomas and injuries of nearby organs, like urethra, bladder, etc. | Symptoms include pelvic pain, especially with movement or weightbearing and reduced range of motion of the hip joint. Pelvis instability can be detected on physical examination. There may be associated haematomas and injuries of nearby organs, like urethra, bladder, etc. | ||