INTRODUCTION Data on prehospital and trauma-room fluid management of multiple trauma patients with pelvic disruptions are rarely reported. Present trauma algorithms recommend early hemorrhage control and massive fluid resuscitation. By matching the German Pelvic Injury Register (PIR) with the TraumaRegister DGU (TR) for the first time, we attempt to assess the initial fluid management for diffe...

BACKGROUND Levator trauma is common in parous women. We have recently found a relationship with age at first vaginal delivery in women seen before and after childbirth. AIMS To examine women presenting with symptoms of pelvic floor disorders for such an association. METHODS Eight hundred and one women were prospectively seen for an interview, clinical examination (including for levator inte...

PURPOSE OF THIS STUDY To review the characteristics, concomitant injuries and mortality in children with polytrauma and associated pelvic fractures treated in a Level-I Trauma Centre. MATERIALS AND METHODS Between December 2003 and November 2013, 49 children with an Injury Severity Score (ISS) of 16 or greater and a pelvic fracture met the inclusion criteria and were evaluated. The mortality,...

Prompt imaging plays an important role in the evaluation of male pelvic soft tissue trauma. Using appropriate imaging modalities, with optimization of contrast administration when appropriate, is essential for accurate diagnosis. Traumatic bladder rupture, either extraperitoneal or intraperitoneal, is diagnosed with high accuracy using computed tomography cystography. Suspicion of urethral inju...

Worldwide, hemorrhagic shock in major trauma remains a major potentially preventable cause of death. Controlling bleeding and subsequent coagulopathy is a big challenge. Immediate assessment of unidentified bleeding sources is essential in blunt trauma patients with hemorrhagic shock. Chest/pelvic X-ray in conjunction with ultrasonography have been established classically as initial diagnostic ...

prise about 2% of all fractures, but the incidence is increasing due to increasing numbers of high-speed vehicular crashes and suicide attempts. Mortality associated with isolated pelvic injury, independent of severity, has been reported to be low: 1%–2%. Among multiply injured victims of blunt trauma, however, almost 20% have injuries to the pelvic ring. In this group, when closed pelvic ring ...

As pelvic fractures in children and adolescents are very rare, the surgical management is not well delineated nor are the postoperative complications. The aim of this study using the prospective data from German Pelvic Trauma Registry study was to evaluate the various treatment approaches compared to adults and delineated the differences in postoperative complications after pelvic injuries. Usi...

Pelvic trauma is a complex condition with lesions that might extend to the peritoneal organs, spinal cord or adjacent bones. Causes of trauma in this region are diverse, with various degrees of incidence corresponding to different geographical areas – traffic accidents tend to be more common in Western countries, while military conflicts are responsible for more traumas in war regions. Other po...

As pelvic fractures in children and adolescents are very rare, the surgical management is not well delineated nor are the postoperative complications. The aim of this study using the prospective data from German Pelvic Trauma Registry study was to evaluate the various treatment approaches compared to adults and delineated the differences in postoperative complications after pelvic injuries.Usin...