Regional: pelvis March 2018 | by EMauthor Major pelvic injuries These can result from major trauma and their assessment is part of the trauma work-up. The major concern with pelvic injuries are major blood loss and visceral injuries Minor pelvic injuries These can result from minor trauma and especially in the elderly can result from simple falls. The most common pattern is isolated pubic ramus fracture. There will be pain, localised tenderness and especially pain on weight bearing or inability to weight bear. The likelihood of visceral injury is much less than the major fractures, however assess for these injuries in all patients with pelvic pain. •X-ray of the pelvis should be ordered in all patients •Fracture is usually easy to identify if looked for carefully •All patients should have their urine tested for microscopic or macroscopic haematuria •Isolated fractures of pubic rami can be discharged home with analgesia provided support is available •Arrange a fracture clinic follow up for these patients •Non weight bearing patients without support need admission under frailty or medical team •Significant # of the iliac wings will require admission, under orthopaedics |
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