bleeding

Definition

Fracture of the pelvis caused by a low energy fall

Usually secondary to osteoporosis

Bleeding

Incidence of bleeding low unless on anticoagulation

Fracture pattern

Lateral compression injury

- pubic rami fracture

Definition

Chronic, non metabolic bone disorder

Characterised by increased bone resorption, bone formation and remodelling

Epidemiology

Rare < 40

1 – 3 % population over 60

M > F

Aetiology

Unknown

Paramyxovirus implicated

- measles

- RSV

- canine distemper virus

Electron Microscope

Anatomy

Pelvis is a true ring

- any anterior fracture must have a posterior injury as well

- integrity of the posterior sacroiliac complex is key

Bony Anatomy

2 innominate bones + sacrum

Symphysis pubis < 5mm

SI joint 2-4 mm