J Korean Orthop Assoc.  1974 Mar;9(1):50-56. 10.4055/jkoa.1974.9.1.50.

A Clinical Observation of the Pelvic Bone Fractures and the Associated Injuries

• Shim WS
• Kim YJ

• KMID: 2471597
• DOI: http://doi.org/10.4055/jkoa.1974.9.1.50

Abstract

The pelvic bone fractures have studied by many authors. We have experienced difficulties in managing the pelvic bone fractures because most of them were associated with other bone fractures of soft tissue injuries. 1. 44 patients out of 102 were in age group between 20 to 39. Male and female ratio was 1.1:1. 2. The cause of the pelvic bone fractures were mostly due to automobile accident (82.4%), fall from a height (10.8%), direct blow (5.9%) and miscellaneous (1%). 3. The pelvic bone fractures were classified into avulsion fractures (2 cases), stable fractures (65 cases), and Unstable fractures (35 cases) by the mode of force. 4. About 90% of the pelvic bone fractures were complicated by other bone fractures (52.9%) and soft tissue injuries (50.0%). 5. The residual complications at the end of treatment remained in some cases: urethral stricture, impotence, low back pain, arthritis of sacroiliac joint, narrowing of the birth canal, paralysis of the sciatic nerve, phlebothrombosis, fistula and malunion etc. 6. The main causes of death were the associated injuries including intracranial hemorrhage 7 case) and hypovolemic shock (2 cases).

MeSH Terms

Arthritis
Automobiles
Cause of Death
Erectile Dysfunction
Female
Fistula
Fractures, Bone
Humans
Intracranial Hemorrhages
Low Back Pain
Male
Paralysis
Parturition
Pelvic Bones*
Sacroiliac Joint
Sciatic Nerve
Shock
Soft Tissue Injuries
Urethral Stricture
Venous Thrombosis

Figure

• 

  Fig. 1. Fracture of a rami (Urethral stricture)

• 

  Fig. 2. Comminuted Fracture of Tie Arch (Phlebothrorabosis femoral v.)

• 

  Fig. 3. Vertical Shear (Low back pain)

• 

  Fig. 4. Bucket Handle Type (Fusion of the S-I joint)

• 

  Fig. 5. Total Disruption (Multiple fistula)

Reference

References

1. Chambers H. L., Balfour J.The incidence of importance following pelvic bone fracture with associated urinary tract injuries. J. of Urology. 89(702):1963.

2. Dunn A.W., Morris M. D.Fracture & dislocation of pelvis. J. B. J. S. 50-A(II):1963.

3. Forman C., an stein A.Complicated crushing injuries of the pelvis. J.B.J.B. 49-B-I(24):1967.

4. Grodon Winston, M. D.Casper Wyoming:Internal fixatian for fractures and dislocations of the pelvis. J. B. J S. 3p.:701.

5. Hold worth. Dislocation & fracture & fracture-dislocation of the pelvis. J. B. J. S. 30-B:461. 1948.

6. Howard F. W, Meaning R. P. Stress fracture of the pelvis. J. B. J. S. 50-B:1968.

7. Robert J., Willson M. D., M. S.Contracted Pelvis, Management of Obstetric Difficulties. The Mosby Company;St. Louis: 1961.

8. Kearns Thompson. Fracture of pelvis requiring surgical treatment. J.B.J.S. 45-A:1963.

9. Kisner C.O.Injuries of Urethra. S. A. fr. M. J. 32:1105. 1953.

10. Lam C. R.Nerve Injuries in Fracture of the pelvic. Aan Surg. 164:45. 1936.

11. Levine Jr. I., Crampton R. S.Manor abdominal Injuries associated with pelvic bone fractures. Surg Gynec., & abstet. 116:223–226. 1963.

12. Lowson L.J.w., Wrogit D.Massive hemorrhage folloiving pelvic bone fractures. J. B. J. S. 50-B(2):380–382. 1968.

13. Me. Cague E. J., Semens J. H.The management of traumatic rupture of the urethrae & bladder complicating fractures of the pelvis. J. Urol. Balt. 52(36):1944.

14. Mc. Carrol J. R., Barstein P. W., Cooper William, Helpern Milton, Serewetis Michael P. A., Weinberg S. B.Total pedestrianautomobilc accidents. J. Ann. Med. Acen. 180(127):1962.

15. Salvaterra Jr. W. D., Rigdon D. M., Norris T. W.The J. of Uro:. 101(4):615. 1969.

16. Parry J. F. J., McClellan R. J.Autopsy findings in 127, patients following fatal traffic accidents. Surg., Gynee., and Obstet. 119(586):1964.

17. Patterson F. P., Morton K. S.Neurological Complications of fractures and dislocations of the pelvis. Surg., Gynec., and Obstet. 112:702. 1961.

18. Peltier L. F. Complication associsted with fractures of the pelvis. J. B. J. S. 47-A(5):1060. 1965.

19. Pennal G. F., Sutherland G.Fractures of the pelvis: Motion pictures available from the library of the American Academy of Orthorpedic Surgeans.

20. Prather C. G., Kaiser T. F.The Bladder injuries in fractures of bony pelvis. J. Urol. 65:1019.

21. Purser P W.Lancaster, England displaced fracture of sacrum. J. B. J. S. 51-B(1):1969.

22. Robert Bruce, Salter M. D., M. S.Fractures of the pelvis Textbook of disorders and Injuries of the Musculo-Skeletal System. 530:1970.

23. Watson Jones. Fracture and Joint Inuries, Vol. II,934, 4th Edition. Baltimore: The Williams and Wilkines Co.;1955.