RTA cae - What do you see?
X ray of a patient with RTA. The vehicle hit the side bumper and the patient was ‘thrown around’ in the car. Patient who self-extricated complained of right hip/groin pain, left sided neck pain, limping to toilet and back. All stable vital signs and no wounds. What do you see?
Pelvis is tilted and assymmetric There could be scoliosis Need lumbosacral spine and cervical spine xray Left inferior pubic ramus show fracture Rule out old injury
IT'S A..CASE OF.. RTA.. RESULTING INTO.. FRACTURE PUBIC RAMUS.. NEED'S.. EXPERTS OPINION FOR FURTHER MANAGEMENT..
There is clear fracture of inferior pubic rami on left with disruption of right sacroiliac joint. Better to consult Orthopedic surgeon
A person who can walk to toilet and back - process that there is no major fracture and there is no unstable pelvis fracture There is left inferior ramus of pubic bone fracture It is undisplaced fracture It should resolve with conservative treatment
# Left inferior pubic. Rami seen Needs further investigation and evaluation. CT pelvis advisable to conclude and treatment plan.
1.Public ramus fracture inferiorly. 2. Downward shifting of left SI joint causing SI dysfunction and limping. 3. Right sided SI joint ligaments may be sprained and there may be compression injury and soft tissue injury.
Fracture of inferior pubic rami No wt bearing Rest Pelvic traction See other pelvicinjuries with ct if any. See signs of bladder and urethral damage There is diastasis of pubic symphysis.
Fracture inferior ramus left pubic bone. Pl rule pelvis ultrasound for organs
Continued CT evaluation will help in detecting posterior injury to pelvic ring
Cases that would interest you
- Login to View the image
19yrs old male patient history of fall from height,H/o LOC present, laceration to head measuring 2cm x 3cm,Complaint of back pain with no neurological deficit.Patient is conscious but little bit drowsy with GCS of 12/15.DIAGNOSIS AND APPROACH??
Dr. Prashant Ved2 Likes9 Answers - Login to View the image
pain and swelling in the fourth finger since 1 month!! pt. was under antibiotics n analgesics for three days but the pain din't subside!! plz do suggest the treatment.
Karishma Doshi1 Like6 Answers - Login to View the image
k/c/o sputum positive TB presented with breathlessness. C X R findings ?
Dr. Amith Gupta1 Like15 Answers - Login to View the image
57 year old female falling after twisting foot. Minimally displaced 5th metatarsal Jones fracture or pseudo-Jones fracture? Treatment recommendations?
Kunal Shah0 Like18 Answers - Login to View the image
32 year old male with h/o sever lbp and pain on flexion with SLR negative from past 15 days with no past h/o surgery
Ankita Desai6 Likes26 Answers
2 Likes