The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.26/18997 |
Resumo: | Hip fractures with unstable pelvic ring have great morbidity and mortality rates. These fractures result from high energy trauma such as falls from heights, road accidents and collapsing structures or other similar mechanisms of action. We report the case of a 63 years old man, construction worker, who stood inside a ditch during a wall construction when he was surprised by this collapse, which resulted in direct trauma to the right thigh and pelvis. The autopsy revealed diaphysis fracture of the right femur with an open book pelvic fracture with severe hemorrhagic infiltration and hematoma of the pelvic muscles without arterial injury. Bone bleeding and the vascular damage associated with disruption of the sacroiliac ligaments promote a very significant bleeding. Simple maneuvers such as sheet circumferential compression to promote pelvic ring closure are effective on stabilizing and closure of the sacroiliac joint. Hip manipulation of the fracture was performed during the necropsy to demonstrate and prove how a simple sheet contention can promote stabilization of the pelvic ring by closing the sacroiliac joints in open book fractures. |
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The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsyFixação de FracturaOssos Pélvicos/lesõesImobilizaçãoChoque HemorrágicoHip fractures with unstable pelvic ring have great morbidity and mortality rates. These fractures result from high energy trauma such as falls from heights, road accidents and collapsing structures or other similar mechanisms of action. We report the case of a 63 years old man, construction worker, who stood inside a ditch during a wall construction when he was surprised by this collapse, which resulted in direct trauma to the right thigh and pelvis. The autopsy revealed diaphysis fracture of the right femur with an open book pelvic fracture with severe hemorrhagic infiltration and hematoma of the pelvic muscles without arterial injury. Bone bleeding and the vascular damage associated with disruption of the sacroiliac ligaments promote a very significant bleeding. Simple maneuvers such as sheet circumferential compression to promote pelvic ring closure are effective on stabilizing and closure of the sacroiliac joint. Hip manipulation of the fracture was performed during the necropsy to demonstrate and prove how a simple sheet contention can promote stabilization of the pelvic ring by closing the sacroiliac joints in open book fractures.Repositório ComumDurão, CAlves, MBarros, APedrosa, F2017-09-20T21:19:09Z2017-082017-08-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.26/18997engJ Clin Orthop Trauma. 2017 Aug;8(Suppl 1):S17-S20.10.1016/j.jcot.2017.05.011info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-10T05:01:46Zoai:comum.rcaap.pt:10400.26/18997Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:35:37.227952Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy |
title |
The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy |
spellingShingle |
The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy Durão, C Fixação de Fractura Ossos Pélvicos/lesões Imobilização Choque Hemorrágico |
title_short |
The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy |
title_full |
The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy |
title_fullStr |
The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy |
title_full_unstemmed |
The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy |
title_sort |
The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy |
author |
Durão, C |
author_facet |
Durão, C Alves, M Barros, A Pedrosa, F |
author_role |
author |
author2 |
Alves, M Barros, A Pedrosa, F |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Repositório Comum |
dc.contributor.author.fl_str_mv |
Durão, C Alves, M Barros, A Pedrosa, F |
dc.subject.por.fl_str_mv |
Fixação de Fractura Ossos Pélvicos/lesões Imobilização Choque Hemorrágico |
topic |
Fixação de Fractura Ossos Pélvicos/lesões Imobilização Choque Hemorrágico |
description |
Hip fractures with unstable pelvic ring have great morbidity and mortality rates. These fractures result from high energy trauma such as falls from heights, road accidents and collapsing structures or other similar mechanisms of action. We report the case of a 63 years old man, construction worker, who stood inside a ditch during a wall construction when he was surprised by this collapse, which resulted in direct trauma to the right thigh and pelvis. The autopsy revealed diaphysis fracture of the right femur with an open book pelvic fracture with severe hemorrhagic infiltration and hematoma of the pelvic muscles without arterial injury. Bone bleeding and the vascular damage associated with disruption of the sacroiliac ligaments promote a very significant bleeding. Simple maneuvers such as sheet circumferential compression to promote pelvic ring closure are effective on stabilizing and closure of the sacroiliac joint. Hip manipulation of the fracture was performed during the necropsy to demonstrate and prove how a simple sheet contention can promote stabilization of the pelvic ring by closing the sacroiliac joints in open book fractures. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-20T21:19:09Z 2017-08 2017-08-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.26/18997 |
url |
http://hdl.handle.net/10400.26/18997 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
J Clin Orthop Trauma. 2017 Aug;8(Suppl 1):S17-S20. 10.1016/j.jcot.2017.05.011 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799134920763768832 |