1. Pelvic Injuries Dr. Saleh Waslallah Alharby (FRCS) Associate Professor and Consultant Orthopedic Surgeon. Department of Orthopedic, College of Medicine, King Saud University.

2. Pelvic Injuries Outlines 1.Anatomy. 2.Classifications. 3.Diagnosis. 4.Associated injuries. 5.Treatment. 6.Complications. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

3. Pelvic Injuries Anatomy Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

4. Pelvic Injuries Anatomy Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

5. Pelvic Injuries Classifications. 1.Stable and unstable. 2.Location:- a) Avulsion #. b) Pelvic ring #. c) Acetabular #. 3.With or Without pelvic organs injuries. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

6. Pelvic Injuries Classifications. 1.Stable and unstable. 2.Location:- a) Avulsion #. b) Pelvic ring #. c) Acetabular #. 3.With or Without pelvic organs injuries. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

7. Pelvic Injuries Classifications. 1.Stable and unstable. 2.Location:- a) Avulsion #. b) Pelvic ring #. c) Acetabular #. 3.With or Without pelvic organs injuries. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

8. Pelvic Injuries Classifications. Location:- a) Avulsion #. b) Pelvic ring #. c) Acetabular #. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

9. Pelvic Injuries Classifications. Location:- a) Avulsion #. 1.Ant inf/sup iliac spine 2.Ischial tuberosity. b) Pelvic ring #. c) Acetabular #. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

10. Pelvic Injuries Classifications. Location:- a) Avulsion #. b) Pelvic ring #. 1.Compression force.Pubic ramai 2.Hinge force (open book) symph pubis. 3.Vertical force (fall from Ht.) c) Acetabular #. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

11. Pelvic Injuries Classifications. Location:- a) Avulsion #. b) Pelvic ring #. 1.Compression force.Pubic ramai 2.Hinge force (open book) symph pubis. 3.Vertical force (fall from Ht.) c) Acetabular #. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

12. Pelvic Injuries Classifications. Location:- a) Avulsion #. b) Pelvic ring #. 1.Compression force.Pubic ramai 2.Hinge force (open book) symph pubis. 3.Vertical force (fall from Ht.) c) Acetabular #. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

13. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

14. Pelvic Injuries Classifications. Location:- a) Avulsion #. b) Pelvic ring #. 1.Compression force.Pubic ramai 2.Hinge force (open book) symph pubis. 3.Vertical force (fall from Ht.) c) Acetabular #. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

15. Pelvic Injuries Diagnosis: 1.history and clinical examination. 2.Radiological. a) Plain X ray. b) CT scan. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

16. Pelvic Injuries Diagnosis 1.history.(RTA, Fall, Industrial) a.inability to moveb.to walk c.inability to voidd.pubic pain e.L.limb anesthesiaf.coma g.blood/urethra Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

17. Pelvic Injuries Diagnosis Clinical exam. a.unconsciousb.gap symph pub c.loss sensationd.perin. bruising e.blood per urethra Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

18. Pelvic Injuries Classifications. Location:- a) Avulsion #. b) Pelvic ring #. c) Acetabular #. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

19. Pelvic Injuries X ray Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

20. Pelvic Injuries Treatment. 1.Conservative vs Operative 2.Consider spinal inj until proved otherwise. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

21. Pelvic Injuries Complications. 1.Neurovascular. 2.Pelvic organ inj. 3.Malunion. 4.Mortality is high in vertical force Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

22. Questions Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

23. Pelvic Injuries Acetabular Fractures. Anatomy Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

24. Pelvic Injuries Acetabular Fractures. Classification AO classification: anatomical 1.anterior column. 2.posterior column. 3.transverse. 4.comminuted/ central dislocation. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

25. Pelvic Injuries Acetabular Fractures. Diagnosis 1.history. 2.clinical exam. 3.Radiological. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

26. Pelvic Injuries Acetabular Fractures. Diagnosis Clinical exam. a.abnormal position of the limb b.inability to move the affected limb c.associated dislocation Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

27. Pelvic Injuries Acetabular Fractures. X-ray Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

28. Pelvic Injuries Acetabular # Treatment Factors a.age b.displacement c.location of #d.associated injur. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

29. Pelvic Injuries Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

30. Dr Saleh W Alharby alharby@ksu.edu..sa http:/faculty.ksu.edu.sa/DrSalehAlharby

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