Pelvic avulsion fracture: Difference between revisions

(Created page with "==Background== *Isolated, closed avulsion fracture of pelvis or single-bone *Trauma may be very minor (e.g. fall from seated) in elderly or those with weakened bones *Sports-r...")
 
Line 16: Line 16:
==Management==
==Management==
*Do not disrupt pelvic ring, do not usually require surgery
*Do not disrupt pelvic ring, do not usually require surgery
(Analgesia
*Analgesia
*Crutches, non-weight-bearing status
*Crutches, non-weight-bearing status
*Outpatient orthopedic follow-up
*Outpatient orthopedic follow-up

Revision as of 23:05, 4 September 2016

Background

  • Isolated, closed avulsion fracture of pelvis or single-bone
  • Trauma may be very minor (e.g. fall from seated) in elderly or those with weakened bones
  • Sports-related avulsion fractures are most common pelvic injuries in children

Clinical Features

  • History of trauma
  • Pain/point tenderness over iliac crests, pubic rami, sacrum, or coccyx

Differential Diagnosis

Evaluation

  • Pelvic X-ray, CT pelvis
  • Assess for other injuries and more severe fracture

Management

  • Do not disrupt pelvic ring, do not usually require surgery
  • Analgesia
  • Crutches, non-weight-bearing status
  • Outpatient orthopedic follow-up

Disposition

  • Discharge if pain controlled and able to safely manage at home with mobility limitations

See Also

  • Pelvic fractures]]

External Links

References