Clinical Presentation & Protocol
Patient Usually Complains Of
High-energy trauma (MVA, fall from height). Presents with complex, highly unstable fracture pattern or joint dislocation.
Clinical Examination Findings
Patient is [alert/lethargic], in [mild/severe] distress. Vital signs are [stable/unstable]. Neurological examination reveals [saddle anesthesia/decreased rectal tone/bilateral lower extremity weakness]. Reflexes are [diminished/absent] in [L2-S1] dermatomes.
Treatment Protocol
1. ATLS protocol if poly-trauma. 2. Immediate reduction and rigid splinting/traction. 3. Urgent CT Scan for pre-operative planning. 4. NPO for OR.