Pelvic fracture

Infobox_Disease
Name = PAGENAME


Caption =
DiseasesDB = 9739
ICD10 =
ICD9 = ICD9|808
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj = emerg
eMedicineTopic = 203

Pelvic fracture is a disruption of the bony structure of the pelvis. The most common cause in elderly is a fall, but the most significant fractures involve high-energy forces such as a motor vehicle accident, cycling accidents, or a fall from significant height. Diagnosis is made on the basis of history, clinical features and special investigations usually including x-ray and CT. Because the pelvis cradles so many internal organs, pelvic fractures may produce significant internal bleeding which is invisible to the eye. Emergency treatment consists of Advanced Trauma Life Support management. After stabilisation, the pelvis may be surgically reconstructed.

One specific kind of pelvic fracture is known as an 'open book' fracture. This is often the result from a heavy impact to the groin (pubis), a common motorcycling accident. In this kind of injury, the left and right halves of the pelvis are separated at front and rear, the front opening more than the rear, i.e like opening a book. Depending on the severity, this may require surgical reconstruction before rehabilitation. See http://www.netterimages.com/image/344.htm

In lieu of surgery, some pelvic fractures are treated with only bed rest. Pelvic fractures may involve months of recovery and months or years of rehabilitation.

Deep tissue massage, yoga, and balancing exercises can continue to transform a recovering pelvic fracture years beyond the initial injury.

External links

* [http://www.wheelessonline.com/ortho/pelvic_fractures Wheeless' Textbook of Orthopaedics: Pelvic fractures]