Fractures and Dislocations of the Pelvis. Sacral Fractures Usually from fall or direct trauma; 2 types: Horizontal(transverse) fxs.- m.c. type; m.c. levels.

Slides:

Advertisements

Similar presentations

LE Anterior thigh.

Advertisements

Hip Introduction Bones, Ligaments and Other Structures

X-rays: Pelvis, Hip & Shoulder

Hip Lab Brandee Johnson Cindy Dong Ken Bufford. Hip joint is a joint? Ball-and-socket Ball-and-socket.

Pelvis, Hip, and Thigh Conditions Chapter 14. Pelvis Sacrum Coccyx Innominate bone Ilium Ischium Pubis Collectively protect the inner organs, bear weight,

Muscles of the Leg Posterior Thigh.

Hip and Thigh General Introduction Anatomy. Hip Joint Ball and Socket –Ball = Femoral Head –Socket = Formed by the three Pelvic Bones Socket called the.

The Lower Extremity The Hip

Forensic Anthropology

Hip and Pelvis Ms. Bowman.

Chapter 10 Hip Injuries.

 The Hip is a ball and socket joint like the shoulder, but because it is me stable it has less motion than the shoulder.

PELVIC FRACTURES & FIXATION DEVICES J.E.Tannebaum PGY4 General Surgery.

X-Ray of the pelvis and lower limb

E. Pelvic Girdle 1. Consists of only two coxal bones a. Provide strong, stable support for the weight of the body 2. These two bones are united anteriorly.

Chapter 9 The Hip Joint and Pelvic Girdle. Pelvic Girdle Anterior Gluteal Line External Surface Auricular Surface Iliopectineal Eminence Greater Sciatic.

Chapter 10 The Hip and Pelvis.

Classification of Pelvic Fractures: A Mechanistic Approach

Steven lee M.S. Pathology FTCC. Right os coxa Left os coxa Lumbar vertebrae sacrum Right femur Left femur coccyx sacrum steven lee M.S. Pathology FTCC.

Ilium Pubis Ischium The pelvis is made of three bones on each side.

Chapter 9 The Hip Joint and Pelvic Girdle

THE HIP JOINT eSkeletons.com Skeletal System PSU.

THE HIP JOINT eSkeletons.com Skeletal System PSU.

LOWER LIMB RADIOLOGY ANATOMY

The Hip Joint and Pelvic Girdle

ESTABILISHED STANDARD PREHOSPITAL TRANSPORT PROTOCOL AND EMERGENCY DEPARTMENT MANAGEMENT ALGORITHMS 11% PREALGORITHM 7% POST ALGORITHM.

PELVIS & SACRUM Dr. Jamila El-Medany Dr. Essam Eldin Salama.

Cervical Spine Trauma.

The thigh: muscles Lecture 5.

Bones of the gluteal region

Chapter 7 Hip and Pelvis. Pelvis Connects lower extremities to the axial skeleton Consists of –____________ –1 sacrum –____________ _____________ – 2.

Thoracic and Lumbar Trauma

Dx Imaging 3 review Trauma -Casey Foster. Cervical Spine Atlas fractures – Jefferson’s fracture – Posterior arch fracture of atlas – Anterior arch fracture.

Neurologic and Musculoskeletal Imaging Studies Skeletal Trauma دکترامیر هوشنگ واحدی متخصص طب فیزیکی و توانبخشی قسمت 7.

Let’s look at some muscle anatomy in the pelvis on CT scans. What are these muscles? Psoas muscles.

1 Injuries to the Hip and Pelvis 2Anatomy 3Anatomy  Function of the pelvis  attachment of lower extremities  protection of internal organs  muscular.

Anatomy Workshop Pelvis & Hip & Thigh Myology.

Class #3. Pelvis Supports the trunk and organs in the lower abdomen (pelvic cavity) Absorbs stress from lower limbs when moving (walking/jumping) Female.

Pelvic Trauma. Lecture Outline ƒAssociated injuries ƒResuscitation ƒClassification ƒExample radiographs.

Lower Appendicular Skeleton. Pelvic Girdle Composed of sacrum, coccyx, and 2 coxae (hipbones) Coxae have 3 distinct parts: –Ilium –Ischium –Pubis.

Chapter 8 Hip and Pelvis. Proximal Femur __________ – Round process _________ – Depression in the center of the head ________ – Area between shaft and.

BONES OF LOWER EXTREMITY. Pelvis The pelvis is composed of three bones: The pelvis is composed of three bones:IliumIschiumPubis.

Appendicular Skeleton

John Au Liz Abbott Dr Diana Perriman Prof. Paul Smith

INTERNAL MEDICINE SERIES

The Hip Muscles BIO 238 Instructor: Dr. Gourdine 1.

Radiographic technique of Pelvis, hip joint and sacroiliac joint 5 th presentation.

LOWER EXTREMITY X-RAYS, MRIS AND ANGIOGRAMS.

Chapter 7 Hip and Pelvis. Pelvis Consists of: 2 hip bones Ilium Pubis Ischium Sacrum Coccyx ______________ 2 hip bones Acetabulum.

Auburn High School Sports Medicine Source: Hoppenfeld, Chapter 6 Hip and Pelvis Evaluation.

Injuries to Pelvis and Hip

The Anatomy of the Hip and Pelvis

Hip Muscular Anatomy.

Pelvic injuries.

7 The Skeleton: Part C.

Appendicular Skeleton Pelvic Girdle & Lower limbs

8-3 The Pelvic Girdle The Pelvic Girdle Made up of two (coxal bones)

Lower Extremities The Skeletal System: The Appendicular Skeleton

Pelvis fracture.

Focus on the Pelvic Girdle and lower limb

Hip – Thigh – Pelvis Injury Evaluation

Pelvic Trauma Radiology

REVIEW BONES OF PELVIS & LEG QUIZ THIS FRIDAY!!.

Lesson 24 A & P Hip.

Presentation transcript:

Fractures and Dislocations of the Pelvis

Sacral Fractures Usually from fall or direct trauma; 2 types: Horizontal(transverse) fxs.- m.c. type; m.c. levels are S3 and S4 – AP view shows disruption of foramina – Lateral shows disruption of anterior cortex and possible angulation or displaced distal fragment Vertical fractures- result from indirect pelvic trauma – AP may show asymmetry of foramina – Not visible on lateral

Coccygeal Fractures Usually transversely oriented Best seen on lateral view – May show angulation or anterior displacement of distal fragment

Fractures of the Ilium Iliac wing fxs.- AKA Duverney fx.; splitting of iliac wing from direct lateral trauma Malgaine's fx.- double injury; ipsilateral double vertical fracture of the superior pubic ramus and ischiopubic ramus, with fracture or dislocation of the sacroiliac joint herapy.com/searchResults. aspx?searchStr=iliac+wing+ fractures&rootterm=iliac+ wing+fractures&rootID=49 853&searchType=1&searc hSource=1

Fractures of the Ilium Acetabular fractures: Resulting acetabular injury depends on position of femur at the moment of impact -4 types - Posterior rim fracture (dashboard fracture)- occurs after a blow to the knee while the leg is flexed and adducted (1/3 of acetabular fxs.) -Simple posterior column fx- uncommon -Central acetabular fx. (explosion fx.)- m.c. acetabular fx; divides innominate bone into superior and inferior halves -Simple anterior column fx- on AP, there is loss of continuity of the iliopubic line

Fractures of the Ilium Avulsion fractures- more common in adolescents at apophyses before fusion of the involved growth centers; more common in athletes – ASIS- avulsed by sartorius muscle – AIIS- avulsed by avulsed by rectus femoris muscle

Pubis and Ischium Fractures Straddle fx.- m.c. type of unstable pelvis fx. – Double vertical fracture that involves both superior pubic rami and ischiopubic junctions bilaterally – Fragments may rupture the bladder

Pubis and Ischium Fractures Avulsion fractures: – Symphysis pubis- avulsion by major adductor muscles at superior or inferior pubic rami near pubic articulation – Ischial tuberosity (rider’s bone)- avulsion by hamstring attachment Frequently bilateral Fragment may show overgrowth over time and get mistaken for osteo- chondroma

Pelvic Dislocations Sprung pelvis- represents complete separation of the symphysis pubis and one or both of the SI joints (pelvis looks like an open book) – Severe pelvic basin visceral damage may occur

Pubic Diastasis Represents shearing separation of the pubic articulation Normal distance b/t pubic bones should not exceed 8mm in non-pregnant adults or 10mm in children Often present with unilateral dislocation of SI joint

References Yochum, T.R. (2005) Yochum and Rowe’s Essentials of Skeletal Radiology, Third Edition. Lippincott, Williams and Wilkins: Baltimore.