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Pelvic and Acetabular Fractures
[OCOSH Code: D010388 77493009 S32.3-S32.5 WI_FR_PA]

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2010 2D-fluoroscopic navigated percutaneous screw fixation of pelvic ring injuries

Location: http://www.biomedcentral.com/1471-2474/11/153

Conclusion 2D-fluoroscopic navigation is a safe tool providing high accuracy of percutaneous screw placement for pelvic ring fractures, but in cases of a bilateral iliosacral screw fixation an increased risk for screw misplacement was observed. If additional ramus pubic screw fixations are performed, the retrograde inserted screws have to pass the...
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View Details Visit Resource Review It Rate It Bookmark It Added: Mon Aug 23 2010

2010 Inaccuracies Common in Diagnostic X-Rays for Hip and Pelvic Fractures Medscape

Location: http://www.medscape.com/viewarticle/719016

Report on article in AJR (Am J Roentgenol. 2010;94:1054-1060.)
The results showed that X-ray missed a number of fractures and that MRI revealed many fractures undetected by X-ray. Among other findings:
* 13 patients (14%) had 23 fractures (6 hip, 17 pelvic) undetected by X-ray but confirmed by MRI
* 11 patients (12%)...
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View Details Visit Resource Review It Rate It Bookmark It Added: Wed Mar 31 2010

2011 Prevalence of sacral dysmorphia in a prospective trauma population

Location: http://www.pssjournal.com/content/5/1/8/abstract

Percutaneous sacro-iliac (SI) screw fixation represents a widely used technique in the management of unstable posterior pelvic ring injuries and sacral fractures. The misplacement of SI-screws under fluoroscopic guidance represents a critical complication for these patients. This study was designed to determine the prevalence of sacral dysmorphia and the radiographic...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun May 15 2011

55 y/o male with pelvic and abdominal pain following a crush injury

Location: http://web.archive.org/web/20040115045749/www.nmis.com/common/html/case2.htm

A 55 year-old male presented to the emergency room complaining of pelvic and abdominal pain following a crush injury between a bulldozer and another vehicle.
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View Details Visit Resource Review It Rate It Bookmark It Added: Thu Jan 31 2002

Acetabulum Fractures - AO Surgery Reference

Location: http://www.aofoundation.org/surgery/62

This module shows step-by-step descriptions of
  • Diagnosis
  • Patient preparation
  • Approaches
  • Reduction & fixation
  • Aftercare
 
for all acetabular fractures of the Letournel classification system.
In addition, there are videos, animations, journal articles and book chapters from AO publications
 
Authored by Keith Mayo, Pol Rommens, Carlos Sancineto, Michel Oransky, Executive editor: Peter Trafton
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View Details Visit Resource Review It Rate It Bookmark It Added: Thu Jul 05 2007

Anterior Column of the Acetabulum Wheeless

Location: http://www.wheelessonline.com/ortho/anterior_column_of_the_acetabulum

anterior column extends from symphysis pubis & obturator foramen thru acetabulum to ASIS and up through iliac crest;
- anterior column is less frequently fractured than posterior column due to frequency of posteriorly directed forces;
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Nov 02 2010

Anterior Pelvic Injuries Wheeless

Location: http://www.wheelessonline.com/ortho/anterior_pelvic_injuries_open_surgical_approach

Open Surgical Approach
Indications:
- open book pelvis injury w/ greater than a 2.5 cm pubic diastasis;
- note that fixation of pubic rami fractures can be much more complex than the fixation of a simple diastasis;
  - controversies:
    - management of anterior symphyseal injuries w/ concomitant urethra injury:
    - consider...
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Nov 02 2010

Extended iliofemoral approach AO Foundation

Location: http://www.aofoundation.org/wps/portal/!ut/p/c1/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwML1yBXAyMv ...

The extended iliofemoral approach exposes the entire lateral innominate bone, by posterior reflection of the abductors, and reflection of short external rotators. It can be extended anteriorly into the first iliac window of the ilioinguinal incision. The extended iliofemoral approach involves significant stripping of the bone, is associated with heterotopic bone...
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Nov 02 2010

Fracture of the Pelvis Patient Information AAOS

Location: http://orthoinfo.aaos.org/topic.cfm?topic=A00223

The pelvis is a ring-like structure of bones at the lower end of the trunk. The two sides of the pelvis are actually three bones (ilium, ischium, and pubis) that grow together as people age. Strong connective tissues (ligaments) join the pelvis to the large triangular bone (sacrum) at the... Highly Reputable
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View Details Visit Resource Review It Rate It Bookmark It Added: Mon Jan 28 2008

Iliofemoral Approach AO Foundation

Location: http://www.aofoundation.org/wps/portal/!ut/p/c1/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwML1yBXAyMv ...

The iliofemoral approach and the approach named after Smith-Peterson share a similar skin incision but differ markedly in the deep exposure provided.
Access - This approach provides access to the iliac crest and the entire internal iliac fossa. The fossa exposure incorporates full visualization of the anterior aspect of the sacroiliac joint,...
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Nov 02 2010

Ilioinguinal Approach AO Foundation

Location: http://www.aofoundation.org/wps/portal/!ut/p/c1/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwML1yBXAyMv ...

The ilioinguinal approach was developed by Emile Letournel based on cadaveric dissections to provide anterior access for fractures of the acetabulum. It provides exposure of the inner aspect of the innominate bone from the sacroiliac joint to the pubic symphysis. The surgical exposure requires development of three wound intervals. Mobilization of the...
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Nov 02 2010

Kocher-Langenbeck Approach AO Foundation

Location: http://www.aofoundation.org/wps/portal/!ut/p/c1/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwML1yBXAyMv ...

The Kocher-Langenbeck approach is a nonextensile approach to the posterior acetabular column.
It allows direct visualization of the dorsocranial part of the acetabulum either through the fracture gap or after capsulotomy.
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Nov 02 2010

Malgaigne fracture CHORUS

Location: http://chorus.rad.mcw.edu/doc/01125.html

two vertical fractures involving one side of the pelvic ring
* one fracture anterior to the acetabulum
o usually through the pubic ramus
* one fracture posterior to the acetabulum
o usually through...
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View Details Visit Resource Review It Rate It Bookmark It Added: Thu Jan 31 2002

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