+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Pelvic fractures: role of imaging methods in the diagnosis of isolated pelvic fractures and multi-trauma

Pelvic fractures: role of imaging methods in the diagnosis of isolated pelvic fractures and multi-trauma

Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca 75(2): 93-98

The authors evaluate the role of imaging methods used in the diagnostics of pelvic fractures with the aim to suggest the most effective way of their use. The exact diagnosis of an injury is achieved most quickly if, in hemodynamically stable patients, CT scan is the initial examination and, based on the findings, conservative, invasive (laparotomy) or miniinvasive (angiography with bleeding artery embolization) procedures are used. In hemodynamically unstable patients, the diagnostic procedure always begins with plain X-ray and FAST (ultrasound) examination of the pelvis. When large hemoperitoneum is diagnosed, laparotomy is indicated. When only a small amount of hemoperitoneum is detected, a primary, minimally invasive procedure (angiography with bleeding artery embolization) can be carried out by an experienced interventional radiologist. If this fails to result in stabilization of the circulation, laparotomy should follow. Key words: pelvic ring injury, diagnosis, plain radiography, FAST, MDCT, angiography, embolization.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 054909464

Download citation: RISBibTeXText

PMID: 18454912

Related references

Pelvic X-ray misses out on detecting sacral fractures in the elderly - Importance of CT imaging in blunt pelvic trauma. Injury 47(3): 707-710, 2017

Diagnosis of pelvic fractures in patients with acute pelvic trauma: efficacy of plain radiographs. Ajr. American Journal of Roentgenology 158(1): 109-112, 1992

Pelvic fractures at a new level 1 trauma centre: who dies from pelvic trauma? The Inkosi Albert Luthuli Central Hospital experience. Orthopaedic Surgery 4(4): 216-221, 2013

Influence of the pelvic trauma registry of the DGU on treatment of pelvic ring fractures. Der Unfallchirurg 119(6): 475-481, 2017

Pelvic Fractures in Children Results from the German Pelvic Trauma Registry: A Cohort Study. Medicine 94(51): E2325, 2016

Management of pelvic trauma: neurological damage, urinary tract disruption and pelvic fractures. Journal of Feline Medicine and Surgery 13(5): 347-361, 2011

A new tool for initial stabilization of pelvic fractures: the TPOD--Trauma Pelvic Orthotic Device. Journal of Trauma Nursing 9(1): 20-21, 2005

Variability in pelvic packing practices for hemodynamically unstable pelvic fractures at US level 1 trauma centers. Patient Safety in Surgery 13: 3-3, 2019

Retroperitoneal pelvic packing in the management of hemodynamically unstable pelvic fractures: a level I trauma center experience. Journal of Trauma 71(4): E79-E86, 2011

How (un)useful is the pelvic ring stability examination in diagnosing mechanically unstable pelvic fractures in blunt trauma patients?. Journal of Trauma 66(3): 815-820, 2009

Reducing Overtriage And Undertriage Rates Of Pelvic Fractures And Unnecessary Pelvic Binder Applications In Major Trauma Patients. Emergency Medicine Journal 32(6): e17.2-e17, 2015

Trends and efficacy of external emergency stabilization of pelvic ring fractures: results from the German Pelvic Trauma Registry. European Journal of Trauma and Emergency Surgery 2019, 2019

Polytrauma with pelvic fractures and severe thoracic trauma: does the timing of definitive pelvic fracture stabilization affect the clinical course?. Der Unfallchirurg 116(10): 923-930, 2014

Retroperitoneal pelvic packing for haemodynamically unstable pelvic fractures in children and adolescents: a level-one trauma-centre experience. Journal of Pediatric Surgery 47(12): 2244-2250, 2013

Use of the trauma pelvic orthotic device (T-POD) for provisional stabilisation of anterior-posterior compression type pelvic fractures: a cadaveric study. Injury 39(8): 903-906, 2008