Pelvic Trauma. Ø Pelvis: The most important area of the body. Ø Pelvic injuries often represent multisystem
|
|
|
- Gervase Woods
- 6 years ago
- Views:
Transcription
1 Pelvic Trauma Jim Holliman, M.D. FACEP Associate Professor of Surgery / Emergency Medicine Director, Center for International Emergency Medicine M.S. Hershey Medical Center Penn State University Hershey, Pennsylvania USA
2 Pelvic Trauma Ø Pelvis: The most important area of the body Ø Pelvic injuries often represent multisystem injuries
3 Traumatism pelvian Ruptură de perete abdominal anterior
4 Pelvic Fractures Mortality 6 to 19% If hypotensive, mortality 40 to 50% 60% due to MVAs 30% due to falls 65% of deaths due to hemorrhage
5 Immediate Sequelae of Pelvic Trauma Massive hemorrhage Bony disruption of pelvis Vascular interruption (major and minor) Urologic injury Bowel and vaginal tears of perforations Neurologic injury
6 Hemipelviectomie dreaptă posttraumatică
7 Massive Hemorrhage n Major cause of death from pelvic fracture (60 to 80%) n 50 to 60% of deaths due primarily to pelvic fracture occur within first nine hours of hospital admission n Degree of hemorrhage dependent on fracture type; truly massive in large posterior fractures n Retroperitoneum can accommodate large amount of blood and problem compounded with open fracture n Operative treatment seldom if ever indicated unless major vascular injury uncontrolled after angiography
8 Pelvic Fracture: Initial Exam Ø Local palpation assess gross instability Ø Both hips associated hip fx common Ø Blood at meatus (elicit by milking along the urethra first) mandates urethrogram and cystogram Do not pass foley first! Ø Careful neuro exam Ø Vaginal / rectal exam if mucosa violated, patient must go to OR for diverting colostomy Ø Early external fixator may be needed for unstable fx
9 Fixator extern
10 Fixator extern
11 Fixator extern Ganz
12 Centură de stabilizare London
13 Centură de stabilizare London aplicată
14 London aplicată Pliere în vederea efectuării unei laparotomii
15 Bandă de stabilizare Geneva
16 Bandă de stabilizare Geneva aplicată
17 Bandă de stabilizare Dallas
18 Radiografie în incidenţă AP Înaintea aplicării benzii de stabilizare Dallas
19 Radiografie în incidenţă AP După aplicarea benzii de stabilizare Dallas
20 Pelvic Fractures: Radiology AP view shows most fxs Inlet view shows inward fx displacement Outlet view Tangential view good for sacral fx and sacroiliac (SI) separation Computed tomography (CT) more accurate for posterior arch and acetabular fxs
21 Pelvic Fractures: Diagnostic Peritoneal Lavage (DPL) Ø Usually required to quickly R/O intraabdominal bleeding as cause for shock or hypotension Ø False positive rate higher than for isolated intraperitoneal injury Ø Should use supraumbilical open approach
22 M.A.S.T. (P.A.S.G.) Inflation may be helpful to control bleeding from pelvic fx (inflate abdominal compartment and leg compartments) If unable to stabilize patient within 2 hrs of application and suspected arterial bleeder present, then go to angiography If left on too long: risk of compartment syndrome in legs
23 Angiography Indicated when hypovolemia persists and other sources of bleeding ruled out Consider early for posterior arch fx s (associated with greater bleeding) Allows Rx by vasopressin infusion or transcatheter embolization (wire coils or autologous clot) of bleeding vessel(s)
24 Classification of Pelvic Fractures STABLE Fracture of individual bones no break in the pelvic ring Avulsion fractures anterior superior iliac spine anterior inferior iliac spine ischial tuberosity Fracture of the pubis or ischium (around the obturator foramen) Fracture of the wing of the ilium (Duverney s fracture) Fracture of the sacrum Fracture of the coccyx Single break in the pelvic ring Fracture of the two ipsilateral rami Fracture near or subluxation of symphysis pubis Fracture near or subluxation of sacroiliac joint
25 antero-superioară prin avulsie - Stabilă -
26 Fractură de ram pubian cu minimă deplasare - Stabilă -
27 Fractură transversă de sacru sau coccis - Stabilă -
28 ipsilaterală de ram pubian - Stabilă -
29 Classification of Pelvic Fractures (con t.) UNSTABLE DOUBLE BREAKS IN THE PELVIC RING Double vertical fracture or dislocation of the pubis (straddle fx) Double vertical fracture or dislocation of the pelvis (Malgaigne s fx) Severe multiple fractures (including sacral fracture FRACTURES OF THE ACETABULUM Undisplaced Displaced
30 Pelvic Avulsion Fractures Anterior superior iliac spine avulsion sartorius Anterior inferior iliac spine avulsion rectus femoris Ischial tuberosity avulsion hamstrings Rx: analgesics, rest, may need temporary use of crutches; ORIF rarely only for professional athletes
31 Coccygeal Fractures Ø Usually caused by fall in sitting position Ø May be caused by childbirth Ø No need to reduce transrectally since reduction usually not maintained due to muscle pull Ø Rx: analgesics, stool softeners, sacral dough-nut; consider coccygectomy if severe persistent pain (usually if > 1 month)
32 Sacral Fractures Isolated sacral fxs usually transverse (vertical fxs always associated with Malgaigne fx) Do not do bimanual reduction via rectum (may cause enlargement of presacral hematoma or conversion to contaminated open fx) If neurologic Ss, Rx by surgery If no neuro Sx, bed rest, analgesics, sacral corset
33 stângă Disjuncţie sacro-iliacă stângă Compresie laterală
34 Fractură de aripă iliacă stângă Disjuncţie sacro-iliacă stângă Aspect CT
35 Fracturi pelviene multiple Compresie bilaterală
36 Fracturi pelviene multiple Compresie bilaterală Aspect CT
37 Fracturi pelviene multiple Compresie bilaterală Aspect CT
38 pubiene Disjuncţie sacro-iliacă stângă Compresie antero-posterioară
39 Contur neregulat al vezicii urinare Hematom pelvian
40 Fracturi ale ambelor ramuri pubiene Disjuncţie sacro-iliacă dreaptă
41 Disjuncţie de simfiză pubiană Disjuncţie sacro-iliacă stângă
42 Disjuncţie de simfiză pubiană Disjuncţie sacro-iliacă stângă Aspect CT
43 Straddle Fracture Fractures of both pubic rami on both sides or fx of both rami on one side and a symphysis separation 1/3 have lower GU tract injury 1/3 have abdominal visceral injury
44 Fractura Straddle
45 Type II Fractures n Single break in Pelvic Ring n Rx: analgesics, initial bed rest, gradual ambulation advanced as tolerated
46 Type III Fractures Ø Double breaks in Pelvic Ring Ø Unstable Ø Almost all require surgery Ø Are one of criteria for referral to a trauma center
47 Malgaigne Fracture Anterior and posterior pelvic ring fracture Anterior: both pubic rami Posterior: fx ilium, Sl joint separation or sacral fx (vertical)
48 Malgaigne Fracture 50% have intra-abdominal injury 50% have GU tract injury > 25% have head injury > 25% have chest injury
49 Acetabular Fractures Posterior lip fx Most common Associated with posterior hip dislocation Central or transverse fx Fracture of anterior (iliopubic) column Fracture of posterior (ilioischial) column (Walther fx)
50 Pelvic Fractures - Summary Ø Assess pelvis as part of secondary survey Ø Treat associated injuries Ø Consider sequence of fluid support angiography M.A.S.T. inflation surgery (laparotomy or external fixator ± plating) for continued bleeding from pelvic fractures Ø Assess for associated injuries to GU tract, rectum, and femurs
Pelvic fractures. Dr Raymond Yean, MBBS Surgical SRMO
Pelvic fractures Dr Raymond Yean, MBBS Surgical SRMO PELVIC FRACTURES Pelvic fracture account for 2-8% all skeletal injuries Associated with High energy trauma Soft tissue injuries and blood loss. Shock,
Pelvic Fractures. AOCP National Course Belfast City Hospital. 11 th June D Swain BSc; FRCSI; FRCS (Orth.)
Pelvic Fractures AOCP National Course Belfast City Hospital 11 th June 2010 Who s this bloke? Consultant orthopaedic surgeon RVH Trained in Belfast, England and Toronto Interests - pelvic and acetabular
Anatomy & Physiology Pelvic Girdles 10.1 General Information
Anatomy & Physiology Pelvic Girdles 10.1 General Information ICan2Ed, Inc. In human anatomy, the pelvis (plural pelves or pelvises) is the lower part of. The area of the body that is between the abdomen
PELVIS & SACRUM Dr. Jamila El-Medany Dr. Essam Eldin Salama
PELVIS & SACRUM Dr. Jamila El-Medany Dr. Essam Eldin Salama Learning Objectives At the end of the lecture, the students should be able to : Describe the bony structures of the pelvis. Describe in detail
Skeletal System Module 13: The Pelvic Girdle and Pelvis
OpenStax-CNX module: m47993 1 Skeletal System Module 13: The Pelvic Girdle and Pelvis Donna Browne Based on The Pelvic Girdle and Pelvis by OpenStax College This work is produced by OpenStax-CNX and licensed
B) cervix of uterus C) vagina D) rectum. 1. What number illustrates the adnexal area? (Fig. 4-64) A) 4 B) 5 C) 8 D) 9
Pelvis Practice Problems 1. What number illustrates the adnexal area? (Fig. 4-64) A) 4 B) 5 C) 8 D) 9 2. What number illustrates the cervix? (Fig. 4-64) A) 4 B) 8 C) 5 D) 6 3. Which of the following is
The Acute Management of Pelvic Ring Injuries
The Acute Management of Pelvic Ring Injuries Brian J Ladner, MD North Oaks Medical Center Original Author: Kyle F. Dickson, MD; Created March 2004 Sean E. Nork, MD; Revised December 2010 New Author: October
Kaan Yücel M.D., Ph.D. 14.January.2014 Tuesday
Kaan Yücel M.D., Ph.D. 14.January.2014 Tuesday Sexual differences are related mainly 1. Heavier build and larger muscles of most men 2. Adaptation of the pelvis (particularly the lesser pelvis) in women
West Yorkshire Major Trauma Network Clinical Guidelines 2015
WYMTN: Pelvic fracture with urogenital trauma KEY RECOMMENDATIONS 1. During the initial exploratory survey / secondary survey, a. The external urethral meatus and the transurethral bladder catheter (if
The os coxae or hip bone consists of three flat bones, ilium, ischium and pubis, which fuse together to form the acetabulum.
The os coxae The os coxae or hip bone consists of three flat bones, ilium, ischium and pubis, which fuse together to form the acetabulum. The ilium extends from the acetabulum upwards forming the lateral
Fractures of the pelvis
Postgraduate Medical Journal (September 1983) 59, 560-565 Fractures of the pelvis ABULFOTOOH M. EID M. Ch. Orth. University of Alexandria, Egypt Summary Pelvic fractures in this series constituted 3-3%
THE HIP. Cooler than cool, the pinnacle of what is "it". Beyond all trends and conventional coolness.
THE HIP Cooler than cool, the pinnacle of what is "it". Beyond all trends and conventional coolness. Objectives Hip anatomy Causes of hip pain Hip exam Anatomy Bones Ilium Anterior Superior Iliac Spine
RADIOLOGY OF THE NORMAL ACETABULUM. X-ray X-ray X-ray. Figure. Figure ILIAC OBLIQUE VIEW OBTURATOR OBLIQUE VIEW AP VIEW
RADIOLOGY OF THE NORMAL ACETABULUM Six radiological landmarks should be recognized on the Anterior Posterior radiograph: 1. Posterior wall of the acetabulum 2. Anterior wall of the acetabulum 3. Roof /
THE INITIAL MANAGEMENT OF PELVIC AND ACETABULAR TRAUMA LOUIS LEBLOND MD FRCSC DEPT OF ORTHOPAEDICS THE MONCTON HOSPITAL - L HÔPITAL DE MONCTON
THE INITIAL MANAGEMENT OF PELVIC AND ACETABULAR TRAUMA LOUIS LEBLOND MD FRCSC DEPT OF ORTHOPAEDICS THE MONCTON HOSPITAL - L HÔPITAL DE MONCTON DISCLOSURES + BACKGROUND No. Centre de formation médicale
Management of Pelvic Fracture
Management of Pelvis Fracture with Hemodynamic Instability James W. Davis MD Professor of Clinical Surgery, UCSF/Fresno Chief of Trauma Management of Pelvic Fracture How NOT to do it The basics Evaluation
C. Bones of the Pelvic Girdle
C. Bones of the Pelvic Girdle 1. 2 coxal bones (a.k.a hip bones): -bony pelvis is made up of hip bones, sacrum, & coccyx -pelvic bones are large & heavy & attach to the axial skeleton via sacrum/coccyx
NOTES FROM GUTMAN LECTURE 10/26 Use this outline to study from. As you go through Gutman s lecture, fill in the topics.
NOTES FROM GUTMAN LECTURE 10/26 Use this outline to study from. As you go through Gutman s lecture, fill in the topics. Anatomy above the arcuate line Skin Camper s fascia Scarpa s fascia External oblique
UBC Department of Urologic Sciences Lecture Series. Urological Trauma
UBC Department of Urologic Sciences Lecture Series Urological Trauma Disclaimer: This is a lot of information to cover and we are unlikely to cover it all today These slides are to be utilized for your
ABC of Emergency Radiology
ABC of Emergency Radiology It is possible for the non-specialist to interpret pelvic radiographs accurately Important anatomical considerations THE PELVIS P A Driscoll, R Ross, D A Nicholson FIG i-line
LAB Notes#1. Ahmad Ar'ar. Eslam
LAB Notes#1 Ahmad Ar'ar Eslam 1 P a g e Anatomy lab Notes Lower limb bones :- Pelvic girdle: It's the connection between the axial skeleton and the lower limb; it's made up of one bone called the HIP BONE
Pelvic Injuries. Chapter 21
Chapter 21 Introduction Injuries of the pelvis are an uncommon, but potentially lethal, battlefield injury. Blunt injuries may be associated with major hemorrhage and early mortality. Death within the
Figure 1 - Hip and Pelvis
Hip Figure 1 - Hip and Pelvis The terms hip and pelvis are frequently used interchangeably, but strictly speaking, the pelvis is a girdle of bones and the hip is a joint. The pelvis consists of The sacrum
First practical session. Bones of the gluteal region
First practical session 2017 Bones of the gluteal region The Hip bone The hip bone is made of: 1 The ilium: superior in position 2 The ischium:postero-inferior in position 3 The pubis: antero-inferior
Identify the muscles associated with the medial compartment of the thigh. Identify the attachment points of the medial thigh muscles.
L 8 A B O R A T O R Y Thigh MEDIAL THIGH Identify the muscles associated with the medial compartment of the thigh. Identify the attachment points of the medial thigh muscles. Identify the actions of these
Abdominal Trauma. Nat Krairojananan M.D., FRCST Department of Trauma and Emergency Medicine Phramongkutklao Hospital
Abdominal Trauma Nat Krairojananan M.D., FRCST Department of Trauma and Emergency Medicine Phramongkutklao Hospital overview Quick review abdominal anatomy Review of mechanism of injury Review of investigation
Surgical Approaches for Fractures and Injuries of the Pelvic Ring
Surgical Approaches for Fractures and Injuries of the Pelvic Ring Mara L. Schenker, MD Emory University / Grady Hospital Created by Steven A. Olson, MD in 2004 and Kyle Dickson, MD in 2004 First revised
Initial Management of Pelvic Injuries
Initial Management of Pelvic Injuries Olav Røise, MD, PhD Chairman Division of Neuroscience and Skeletal Medicine Ullevål University Hospital Trauma treatment Represent a chain of health services in which
The Lower Limb. Anatomy RHS 241 Lecture 2 Dr. Einas Al-Eisa
The Lower Limb Anatomy RHS 241 Lecture 2 Dr. Einas Al-Eisa The bony pelvis Protective osseofibrous ring for the pelvic viscera Transfer of forces to: acetabulum & head of femur (when standing) ischial
The Hip (Iliofemoral) Joint. Presented by: Rob, Rachel, Alina and Lisa
The Hip (Iliofemoral) Joint Presented by: Rob, Rachel, Alina and Lisa Surface Anatomy: Posterior Surface Anatomy: Anterior Bones: Os Coxae Consists of 3 Portions: Ilium Ischium Pubis Bones: Pubis Portion
Pelvis injuries Fractures of the femur (proximal,shaft) Dr Tamás Bodzay
Pelvis injuries Fractures of the femur (proximal,shaft) Dr Tamás Bodzay Pelvis anatomy Pelvis function - axial load bearing - protection: abdominal, pelvic structures Pelvic injury mechanism Falling from
Pelvic ring fractures: what to expect
Pelvic ring fractures: what to expect Poster No.: C-0690 Congress: ECR 2014 Type: Educational Exhibit Authors: A. L. Popirtac, I. G. Filimon ; Cluj-Napoca, Cl/RO, Cluj-Napoca/ RO Keywords: Trauma, Diagnostic
Pelvic ring fractures: what to expect
Pelvic ring fractures: what to expect Poster No.: C-0690 Congress: ECR 2014 Type: Educational Exhibit Authors: A. L. Popirtac, I. G. Filimon ; Cluj-Napoca, Cl/RO, Cluj-Napoca/ RO Keywords: Trauma, Diagnostic
10/2/2018. Acute Management of Pelvic Injuries. Learning Objectives. 17 yo male ped struck by truck
17 yo male ped struck by truck Acute Management of Pelvic Injuries David Volgas, MD CoxHealth University of Missouri HD unstable Open pelvic wound superior gluteal fold through rectum to scrotum Open rami
Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings. Dr. Nabil Khouri MD, MSc, Ph.D
Dr. Nabil Khouri MD, MSc, Ph.D Pelvic Girdle (Hip) Organization of the Lower Limb It is divided into: The Gluteal region The thigh The knee The leg The ankle The foot The thigh and the leg have compartments
Table 2. First Generated List of Expert Responses. Likert-Type Scale. Category or Criterion. Rationale or Comments (1) (2) (3) (4)
Table 2. First Generated List of Expert Responses. Likert-Type Scale Category or Criterion Anatomical Structures and Features Skeletal Structures and Features (1) (2) (3) (4) Rationale or Comments 1. Bones
DISTRACTION EXTERNAL FIXATIONS OF PELVIC FRACTURES CAUSED BY A LATERAL COMPRESSION
DOI: 10.5272/jimab.2011171.161 Journal of IMAB - Annual Proceeding (Scientific Papers) 2011, vol. 17, book 1 DISTRACTION EXTERNAL FIXATIONS OF PELVIC FRACTURES CAUSED BY A LATERAL COMPRESSION Pavlin Apostolov,
Inferior Pelvic Border
Pelvis + Perineum Pelvic Cavity Enclosed by bony, ligamentous and muscular wall Contains the urinary bladder, ureters, pelvic genital organs, rectum, blood vessels, lymphatics and nerves Pelvic inlet (superior
Clinical Module. Pelvic Injury Trauma. Princess Alexandra Hospital Emergency Department. 1 Introduction
Princess Alexandra Hospital Emergency Department Clinical Module Trauma Review Officers: Katherine Isoardi / Glenn Ryan Version no: 2 Review date: Aug 2015 Key Words: Pelvic Trauma, Pelvic Injury, Pelvic
Bones of Lower Limb. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Bones of Lower Limb Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Bones of the lower limb Hip Bone Made up of 3 bones: 1) Ilium (flat), superior in position 2) Ischium (L), postero-inferior
Delayed Presentation of Traumatic Bladder Injury: A case report and review of current treatment trends
ISPUB.COM The Internet Journal of Urology Volume 5 Number 1 Delayed Presentation of Traumatic Bladder Injury: A case report and review of current treatment trends S Deem, C Lavender, S Agarwal Citation
Classification of Pelvis and Aetabulum Injuries
Introduction The earliest attempt at classifying pelvic ring injuries was made by Bucholz where he described three groups essentially defining anteroposterior injuries of later classification systems.[1]
ANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 5- Intermediate cutaneous nerve of the thigh 1, 2 and 3 are
Introduction to Anatomy. Dr. Maher Hadidi. Tala Ar ar. Mar/10th/2013
Sheet Introduction to Anatomy Dr. Maher Hadidi Tala Ar ar 15 Mar/10th/2013 Lower limb The skeleton of the lower limb is the lower appendicular skeleton which consists of 2 parts: 1- Pelvic girdle. 2- Bones
ANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 5- Intermediate cutaneous nerve of the thigh 1, 2 and 3 are
Canadian Undergraduate Urology Curriculum (CanUUC): Genitourinary Trauma. Last reviewed June 2014
Canadian Undergraduate Urology Curriculum (CanUUC): Genitourinary Trauma Last reviewed June 2014 Session Objectives 1. Recognize hematuria as the cardinal symptom of urinary tract trauma. 1. Outline the
SPECIAL DIAGNOSTIC STUDIES IN BLUNT TRAUMA OLEH : Prof.DR.Dr Abdul Rasyid SpRad (K),Ph.D Dr.Evo Elidar Sp.Rad
SPECIAL DIAGNOSTIC STUDIES IN BLUNT TRAUMA OLEH : Prof.DR.Dr Abdul Rasyid SpRad (K),Ph.D Dr.Evo Elidar Sp.Rad Trauma Emergency Room layout Ideally the trauma emergency room is centrally located to provide
Unstable fractures of the pelvis treated with a trapezoid compression frame
Acta Orthop Scand 55, 325-329, 1984 Unstable fractures of the pelvis treated with a trapezoid compression frame Sixteen patients with unstable pelvic fractures were treated by early reduction and fixation
Main Menu. Joint and Pelvic Girdle click here. The Power is in Your Hands
1 Hip Joint and Pelvic Girdle click here Main Menu K.6 http://www.handsonlineeducation.com/classes//k6entry.htm[3/23/18, 2:01:12 PM] Hip Joint (acetabular femoral) Relatively stable due to : Bony architecture
Lesson 24. A & P Hip
Lesson 24 A & P Hip 1 Aims of the Session This session will allow candidates to have an understanding of the bony prominences and soft tissues of the hip 2 Learning Outcomes By the end of the lesson the
Slide Read the tables it is about the difference between male & female pelvis.
I didn t include the slides, this is only what the doctor read or said because he skipped a lot of things because we took it previously, very important to go back to the slides (*there is an edited version)
The Hip Joint. Shenequia Howard David Rivera
The Hip Joint Shenequia Howard David Rivera Topics Of Discussion Movement Bony Anatomy Ligamentous Anatomy Muscular Anatomy Origin/Insertion/Action/Innervation Common Injuries MOVEMENT Flexion Extension
Initial Pelvic Fracture Management. Patrick M Reilly MD FACS February 27, 2010
Initial Pelvic Fracture Management Patrick M Reilly MD FACS February 27, 2010 John Pryor MD Field Triage* * Step One : Physiology * Step Two : Anatomy * Step Three : Mechanism * Step Four : Co-Morbid Conditions
Renal Trauma: Management Options
Renal Trauma: Management Options Immediate surgical repair Nephrectomy Conservative management Alonso RC et al. Kidney in Danger: CT Findings of Blunt and Penetrating Renal Trauma. RadioGraphics 2009;
Lower limb summary. Anterior compartment of the thigh. Done By: Laith Qashou. Doctor_2016
Lower limb summary Done By: Laith Qashou Doctor_2016 Anterior compartment of the thigh Sartorius Anterior superior iliac spine Upper medial surface of shaft of tibia 1. Flexes, abducts, laterally rotates
Damage Control in Abdominal and Pelvic Injuries
Damage Control in Abdominal and Pelvic Injuries Raul Coimbra, MD, PhD, FACS The Monroe E. Trout Professor of Surgery Surgeon-in Chief UCSD Medical Center Hillcrest Campus Executive Vice-Chairman Department
10/24/18. Bones. Innominate Bone. Hip Socket (Acetabulum) Ligaments. Pubic symphysis Sacroiliac Ligaments Front (anterior) Back (posterior)
Pelvic Fractures David Shearer, MD, MPH Asst. Professor Department of Orthopaedic Surgery UCSF/ZSFG Orthopaedic Trauma InsJtute Mini- medical school 2018 Overview: Pelvic Fractures Anatomy Types of Injuries
The thigh. Prof. Oluwadiya KS
The thigh Prof. Oluwadiya KS www.oluwadiya.com The Thigh: Boundaries The thigh is the region of the lower limb that is approximately between the hip and knee joints Anteriorly, it is separated from the
Anterior Stabilisation of Sacroilliac Joint for Complex Pelvic Injuries
CSE REPORT - Sacroilliac Joint Pelvic Injuries Malaysian Journal of Medical Sciences, Vol. 16, No. 3, July - September 2009 CSE REPORT nterior Stabilisation of Sacroilliac Joint for Complex Pelvic Injuries
Dana Alrafaiah. - Amani Nofal. - Ahmad Alsalman. 1 P a g e
- 2 - Dana Alrafaiah - Amani Nofal - Ahmad Alsalman 1 P a g e This lecture will discuss five topics as follows: 1- Arrangement of pelvic viscera. 2- Muscles of Pelvis. 3- Blood Supply of pelvis. 4- Nerve
Gluteal region DR. GITANJALI KHORWAL
Gluteal region DR. GITANJALI KHORWAL Gluteal region The transitional area between the trunk and the lower extremity. The gluteal region includes the rounded, posterior buttocks and the laterally placed
SKELETAL SYSTEM 206. AXIAL SKELETON 80 APPENDICULAR SKELETON 126 (see Figure 6.1) Clavicle. Clavicle. Pectoral girdles. Scapula. Scapula.
SKELETAL SYSTEM 206 AXIAL SKELETON 80 APPENDICULAR SKELETON 126 (see Figure 6.1) Pectoral girdles 4 Clavicle Scapula 2 2 Clavicle Scapula Humerus 2 Humerus Upper limbs 60 Radius 2 Ulna Carpal bones Metacarpal
Biology 218 Human Anatomy. Adapted from Martini Human Anatomy 7th ed. Chapter 7 The Skeletal System Appendicular Division
Adapted from Martini Human Anatomy 7th ed. Chapter 7 The Skeletal System Appendicular Division Introduction The appendicular skeleton includes: Pectoral girdle Shoulder bones Upper limbs Pelvic girdle
Muscles of Gluteal Region
1 The Gluteal Region In the gluteal region the skin is tough with many layers underneath. Directly under it is the superficial fascia followed by the deep fascia then the muscles and the bones of the thigh.
The Appendicular Skeleton
8 The Appendicular Skeleton PowerPoint Lecture Presentations prepared by Jason LaPres Lone Star College North Harris 8-1 The Pectoral Girdle The Pectoral Girdle Also called shoulder girdle Connects the
ANATOMY TEAM GLUTEAL REGION & BACK OF THIGH
ANATOMY TEAM GLUTEAL REGION & BACK OF THIGH OBJECTIVES By the end of this lecture, the student should be able to identify and discuss: Contents of gluteal region: Groups of Glutei muscles and small muscles
Chapter 8. The Appendicular Skeleton. Lecture Presentation by Lee Ann Frederick University of Texas at Arlington Pearson Education, Inc.
Chapter 8 The Appendicular Skeleton Lecture Presentation by Lee Ann Frederick University of Texas at Arlington An Introduction to the Appendicular Skeleton The Appendicular Skeleton 126 bones Allows us
Commonly Missed Injuries of the Extremities
Commonly Missed Injuries of the Extremities Dr. Tudor H. Hughes M.D., FRCR Department of Radiology University of California School of Medicine San Diego, California 1. Base of skull 2. Odontoid process
Guidelines and Protocols
TITLE: PELVIC TRAUMA PURPOSE: Develop a protocol of care that will insure rapid identification and treatment of these patients PROCESS: I. CARE OF PATIENTS WITH PELVIC TRAUMA A. Patients in hemorrhagic
Management of Bleeding Pelvic Fractures
Management of Bleeding Pelvic Fractures Clay Cothren Burlew, MD FACS Professor of Surgery Program Director, SCC and TACS Fellowships Director, Surgical Intensive Care Unit Denver Health Medical Center/University
ANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 1, 2 and 3 are From the lumber plexus 5- Intermediate cutaneous
Genitourinary Trauma Introduction GU Trauma overlooked
Genitourinary Trauma Introduction GU Trauma overlooked 10-20% of all injured patients Long term morbidity Impotence Incontinence Life-threatening injuries first Urethral Injury Plan Bladder Injury Kidney
Overview of the Skeleton: Bone Markings
Name Overview of the Skeleton: Bone Markings Match the terms in column B with the appropriate description in column A. Column A 1. sharp, slender process* 2. small rounded projection* 3. narrow ridge of
Apophysis. Apophyseal Avulsion. Apophyseal avulsion injuries 3/2/2017
Apophysis 0 Differentiate from Epiphysis: The end of long bones which undergo endochondral ossification to produce longitudinal growth of the bones. i.e. growth plates 0 Apophysis refers to any eminence,
5/31/2018. Ipsilateral Femoral Neck And Shaft Fractures. Ipsilateral Neck-Shaft Fractures Introduction. Ipsilateral Neck-Shaft Fractures Introduction
Ipsilateral Femoral Neck And Shaft Fractures Exchange Nailing For Non- Union Donald Wiss MD Cedars-Sinai Medical Center Los Angeles, California Introduction Uncommon Injury Invariably High Energy Trauma
Muscles of the lower extremities. Dr. Nabil khouri MD, MSc, Ph.D
Muscles of the lower extremities Dr. Nabil khouri MD, MSc, Ph.D Posterior leg Popliteal fossa Boundaries Biceps femoris (superior-lateral) Semitendinosis and semimembranosis (superior-medial) Gastrocnemius
Human Anatomy Biology 351
Human Anatomy Biology 351 Lower Limb Please place your name on the back of the last page of this exam. You must answer all questions on this exam. Because statistics demonstrate that, on average, between
Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings. Dr. Nabil khouri
Dr. Nabil khouri Appendicular Skeleton The appendicular skeleton is made up of the bones of the upper and lower limbs and their girdles Two girdles: Pectoral girdles attach the upper limbs to the body
Lectures of Human Anatomy
Lectures of Human Anatomy Lower Limb Gluteal Region and Hip Joint By DR. ABDEL-MONEM AWAD HEGAZY M.B. with honor 1983, Dipl."Gynecology and Obstetrics "1989, Master "Anatomy and Embryology" 1994, M.D.
It is formed by fusion of 3 bones: I. Ilium (superior bone). II. Pubis (antero-inferior bone). III. Ischium (postero-inferior bone).
It is formed by fusion of 3 bones: I. Ilium (superior bone). II. Pubis (antero-inferior bone). III. Ischium (postero-inferior bone). Pubis Acetabulum Ana (242 ) The three constituent of bones of the hip
FUNCTIONAL ANATOMY AND EXAM OF THE HIP, GROIN AND THIGH
FUNCTIONAL ANATOMY AND EXAM OF THE HIP, GROIN AND THIGH Peter G Gerbino, MD, FACSM Orthopedic Surgeon Monterey Joint Replacement and Sports Medicine Monterey, CA TPC, San Diego, 2017 The lecturer has no
Chapter 7: Skeletal System: Gross Anatomy
Chapter 7: Skeletal System: Gross Anatomy I. General Considerations A. How many bones in an average adult skeleton? B. Anatomic features of bones are based on II. Axial Skeleton A. Skull 1. Functionally
Common fracture & dislocation of the cervical spine. Theerachai Apivatthakakul Department of Orthopaedic Chiangmai University
Common fracture & dislocation of the cervical spine Theerachai Apivatthakakul Department of Orthopaedic Chiangmai University Objective Anatomy Mechanism and type of injury PE.and radiographic evaluation
Pathogenesis of Chronic Pelvic Pain
Pathogenesis of Chronic Pelvic Pain Yong-Chul Kim Department of anesthesia and pain medicine, Seoul National University College of Medicine 1 Overview Anatomy Nerve innervation CPP by pathology CPP by
Bony ypelvis. Composition: formed by coccyx, and their articulations Two portions
Pelvis Bony ypelvis Composition: formed by paired hip bones, sacrum, coccyx, and their articulations Two portions Greater pelvis Lesser pelvis Terminal line ( pelvic inlet): formed by promontory of sacrum,
Pectoral (Shoulder) Girdle
Chapter 8 Skeletal System: Appendicular Skeleton Pectoral girdle Pelvic girdle Upper limbs Lower limbs 8-1 Pectoral (Shoulder) Girdle Consists of scapula and clavicle Clavicle articulates with sternum
Chapter 8B. The Skeletal System: Appendicular Skeleton. The Appendicular Skeleton. Clavicle. Pectoral (Shoulder) Girdle
The Appendicular Skeleton Chapter 8B The Skeletal System: Appendicular Skeleton 126 bones Pectoral (shoulder) girdle Pelvic (hip) girdle Upper limbs Lower limbs Functions primarily to facilitate movement
Acetabular Fractures: Anatomic and Clinical Considerations
Musculoskeletal Imaging Review Lawrence et al. cetabular Fractures Musculoskeletal Imaging Review Downloaded from www.ajronline.org by 37.44.194.221 on 01/28/18 from IP address 37.44.194.221. Copyright
Hip joint and pelvic girdle. Lower Extremity. Pelvic Girdle 6/5/2017
Hip joint and pelvic girdle Lower Extremity The relationship between the pelvic girdle and hip is similar to that between the shoulder girdle and shoulder joint. The lower limbs are attached to the axial
PELVIC FLOOR FRACTURES IN 55 DOGS AND 39 CATS: CT AND X- RAY FINDINGS
International Journal of Veterinary Sciences Research ISSN(e): 2410-9444/ISSN(p): 2413-8444 URL: www.pakinsight.com PELVIC FLOOR FRACTURES IN 55 DOGS AND 39 CATS: CT AND X- RAY FINDINGS M.A. Sadan 1 ---
The University Of Jordan Faculty Of Medicine THE LOWER LIMB. Dr.Ahmed Salman Assistant Prof. of Anatomy. The University Of Jordan
The University Of Jordan Faculty Of Medicine THE LOWER LIMB Dr.Ahmed Salman Assistant Prof. of Anatomy. The University Of Jordan Gluteal Region Cutaneous nerve supply of (Gluteal region) 1. Lateral cutaneous
Lecture 08 THIGH MUSCLES ANTERIOR COMPARTMENT. Dr Farooq Khan Aurakzai. Dated:
Lecture 08 THIGH MUSCLES ANTERIOR COMPARTMENT BY Dr Farooq Khan Aurakzai Dated: 11.02.2017 INTRODUCTION to the thigh Muscles. The musculature of the thigh can be split into three sections by intermuscular
Classification, management and outcomes of severe pelvic ring fractures
Classification, management and outcomes of severe pelvic ring fractures School of Public Health and Preventive Medicine, Monash University The Alfred Hospital, Royal Melbourne Hospital, Epworth Health
Biology 218 Human Anatomy
Chapter 8 Adapted from Tortora 10 th ed. LECTURE OUTLINE A. Introduction (p. 203) 1. The appendicular skeleton contains 126 bones that form: i. two pectoral (shoulder) girdles two upper limbs i one pelvic
Imaging of Cervical Spine Trauma Tudor H Hughes, M.D.
Imaging of Cervical Spine Trauma Tudor H Hughes, M.D. General Considerations Most spinal fractures are due to a single episode of major trauma. Fatigue fractures of the spine are unusual except in the
Skeletal System. It s all about the bones!!!
Skeletal System It s all about the bones!!! The Skeletal System in Action!! The Skeletal System in Action! https://www.youtube.com/watch?v=icwllrqkv cg&list=plzile25upgebvru0jneppcabh0fhktgt Q 1. FYI 5
The Axial Skeleton Hyoid Bone. Lecture Overview. Marieb s Human Anatomy and Physiology. Chapter 7 The Axial and Appendicular Skeleton Lecture 14
Marieb s Human Anatomy and Physiology Marieb Hoehn Chapter 7 The Axial and Appendicular Skeleton Lecture 14 1 Axial Skeleton Hyoid bone Bones of the orbit Paranasal sinuses Infantile skull Vertebral column
Observation on closed reduction and internal fixation with external fixation in treating unstable pelvic fracture.
Biomedical Research 2017; 28 (15): 6911-6915 ISSN 0970-938X www.biomedres.info Observation on closed reduction and internal fixation with external fixation in treating unstable pelvic fracture. Wei-Zhou
Human Anatomy Biology 255
Human Anatomy Biology 255 Exam #4 Please place your name and I.D. number on the back of the last page of this exam. You must answer all questions on this exam. Because statistics demonstrate that, on average,
Information within the handout. Brief Introduction Anatomy & Biomechanics Assessment & Diagnosis Treatment through Muscle Energy
Manual Medicine Diagnosis and Treatment for Somatic Dysfunction of the Pelvis Through Muscle Energy Greenman s Priciples of Manual Medicine (5 th Ed.)- Lisa DeStefano,DO Speaker disclosure I declare I
Triple Pelvic Osteotomy
Triple Pelvic Osteotomy Peter Templeton and Peter V. Giannoudis 2 Indications Acetabular dysplasia with point loading, lateral migration, and painful limp. Hip joint should be reasonably congruent in abduction