BACKGROUND Percutaneous sacro-iliac (SI) screw fixation represents a widely used technique in the management of unstable posterior pelvic ring injuries and sacral fractures. The misplacement of SI-screws under fluoroscopic guidance represents a critical complication for these patients. This study was designed to determine the prevalence of sacral dysmorphia and the radiographic anatomy of surgi...

During birth the infant’s head is exposed to contractions of the uterine muscles and to intra-abdominal pressure1. These mechanical influences are the cause of transient physiological or enduring pathological changes to the skull. The skull deformities differ according to the size of the pelvic opening2. The neonatal period is a highly vulnerable time for an infant. The high neonatal morbidity ...

Contrecoup injury following head trauma is well known. It is caused by the acceleration-deceleration mechanism that can be fully explained by Newton's first law of motion. We report on a victim of a motor vehicle accident with non-displacement left pubis fracture but haemorrhage from the right obturator artery. Contrecoup haemorrhage should be excluded first in unstable patients without evidenc...

The term splenosis applies to the autotransplanted splenic tissue resulting from seeding in the context of past splenic trauma or surgery. We report a 42-year-old man with a history of splenectomy observed for an incidentally found retrovesical mass thought to be an ectopic testicle. The abdominal laparotomy revealed multiple focuses of pelvic splenosis. As splenosis can be diagnosed through sp...

In patients who have been the victims of high-energy trauma, severe pelvic injury should always be suspected. Most of these fractures are stable and respond well to conservative treatment. Pelvic fractures constitute 3% of all skeletal fractures and are associated with high-energy trauma. They are potentially serious injuries with significant mortality and large numbers of associated lesions. T...

INTRODUCTION Urinary bladder rupture following blunt abdominal trauma is frequently encountered in multiple trauma patients with pelvic-ring fractures.(1-3) Rupture of the bladder can be extraperitoneal (50%-71%), intraperitoneal (25%-43%) or combined (7%-14%). (4,5) Conventionally, this injury has been managed with explorative laparotomy and repair. We report a case of a 30 years old woman dia...

The 183-page “EMRA Trauma Guide” reference harkens to the days of yore when pocket references were stained with coffee cup rings and favorite pages dog-eared marked Post-It Notes. How any modern resident could function without a pocketbook is mystery. EMRA's 1st edition Guide provides apprentice trauma physician organized pearls grouped by anatomical area injury. Attending patient pelvic trauma...

Although pelvic fractures constitute a small percentage of total orthopedic injuries, they are associated with highest mortality rate. Pelvic fractures, along with long bone fractures, frequently are the result of significant blunt trauma often encountered in high-speed motor vehicle accidents. However, other types of trauma can cause these devastating injuries. Early recognition and a high ind...

Multidetector Computed Tomography (MDCT) technology plays an important role in the evaluation of injured patients. At our institution pelvic X-ray (PXR) is obtained routinely on trauma patients. Many also receive MDCT of the abdomen and pelvis for other indications. We hypothesized that there would be a substantial cost savings in adopting a policy of deferring PXR in a hemodynamically normal p...

BACKGROUND Pediatric pelvic fractures are associated with high-energy trauma and injury to other systems, leading to an increased incidence of complication and mortality. Previous studies analyzed the pediatric population as a whole, including both children and adolescents. The purpose of this study was to examine whether adolescents with pelvic fracture have different complication and mortalit...