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Broken Pelvic Bone
back to Fractures

Broken Pelvic Bone

The pelvis is a ring-like structure of bones at the lower end of the trunk. The two sides of the pelvis are actually three bones (ilium, ischium, and pubis) that grow together as people age. Strong connective tissues (ligaments) join the pelvis to the large triangular bone (sacrum) at the base of the spine. This creates a bowl-like cavity below the rib cage. On each side, there is a hollow cup (acetabulum) that serves as the socket for the hip joint.

Causes of Broken Pelvic Bone

Growing teens, especially those involved in sports, are one group of people at risk for a particular type of Broken Pelvic Bone. Many "pulled muscles" may actually be undetected avulsion fractures of the pelvis. These fractures usually occur with sudden muscle contractions. A small piece of bone from the top of the hipbone is torn away by the muscle. This is a very stable type of fracture. It does not involve the entire pelvic ring or injure internal organs.

Another group at risk for Broken Pelvic Bones is elderly people with osteoporosis. An individual may fracture the pelvis during a fall, such as when getting out of the bathtub or descending stairs. These injuries usually do not damage the structural integrity of the pelvic ring, but may fracture an individual bone.

However, most Broken Pelvic Bones involve high-energy forces, such as those generated in a motor vehicle accident, crush accident or fall. Depending on the direction and degree of the force, these injuries can be life-threatening.

Diagnosis of Broken Pelvic Bone

A Broken Pelvic Bone is painful, often swollen and bruised. The individual may try to keep the hip or knee bent in a specific position to avoid aggravating the pain. If the fracture is due to trauma, there may also be injuries to the head, chest or legs. There is usually considerable bleeding, which can lead to shock. Summon emergency assistance. The injuries must be stabilized and the individual taken to a trauma center for definitive care. All Broken Pelvic Bones require X-rays, usually from different angles, to show the degree of displacement to the bones. A computed tomography (CT) scan may be ordered to define the extent of other injuries. The physician will also examine the blood vessels and nerves to the legs to see if they have been injured.

Treatment of Broken Pelvic Bone

Stable fractures such as the avulsion fracture experienced by an athlete will normally heal without surgery. The physician may prescribe a painkiller (analgesic). The patient will have to use crutches or a walker, and will have to avoid putting weight on the hip until the bones heal. Because mobility may be limited for several months, the physician may also prescribe a blood-thinner to reduce the risk of blood clots forming in the veins of the legs.

Broken Pelvic Bones that result from high-energy trauma are often life-threatening injuries because of the extensive bleeding. In these cases, doctors may use an external fixator to stabilize the pelvic area. This device has long screws that are inserted into the bones on each side and connected to a frame outside the body. The external fixator allows surgeons to address the internal injuries to organs, blood vessels and nerves.

What happens next depends on the type of fracture and the patient’s condition. Each case must be assessed individually, particularly with unstable fractures. Some pelvic fractures may require traction; for others, the external fixator may be sufficient. Unstable fractures may require surgical insertion of plates or screws of a biocompatible metal.

 

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This web site is intended for your own informational purposes only. No person or entity associated with these web pages purports to be engaging in the practice of medicine through this medium. The information you acquire is not intended to be the advice of a physician or other health care professional. If you have an illness or medical problem, contact your doctor or health care supplier