Diagnosis and Management of Pelvic Fractures (Disease/Disorder Overview)
Bulletin of the NYU Hospital for Joint Diseases 2010, Oct, 68, 4
Bulletin of the NYU Hospital for Joint Diseases
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Since the initial description of a "double vertical" fracture as a combination of pubic rami fractures and a fracture of the iliac wing by French surgeon Joseph Malgaigne in his 1859 atlas of traumatology, pelvic fractures have received a considerable amount of attention in the orthopaedic literature, having to do with their complexity and associated morbidity and mortality. (1) Classic anatomic and biomechanical studies in pelvic disruption, performed during the mid-20th century by George F. Pennal, (2) a Canadian surgeon, helped define the three main types of pelvic fractures "by direction of force": lateral compression (LC), anteroposterior compression (APC), and vertical shear (VS). That these categories are still used in pelvic fracture classification systems is testimony to Pennal's work. During this time-period and up until the mid-1970s, pelvic injuries generally were managed nonoperatively, using compression devices, plaster casts, and bed rest. Over time, outcome studies demonstrated that posttraumatic anatomic deformities and pelvic instability correlated with persistent pain and functional limitation.
- Category: Health & Fitness
- Published: Oct 01, 2010
- Publisher: J. Michael Ryan Publishing Co.
- Seller: The Gale Group, Inc.
- Print Length: 36 Pages
- Language: English