Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents following high-energy trauma with mechanism consistent with anteroposterior compression. Reports severe pelvic pain, inability to bear weight, and localized tenderness. Assessment for associated injuries including hemodynamic instability, urogenital trauma, and neurological deficits is ongoing.
Clinical Examination Findings
Physical exam reveals pelvic instability on lateral compression/distraction maneuvers. Inspection shows ecchymosis over the perineum, scrotum/labia, or suprapubic region. Assessment of pelvic ring integrity confirms symphysis pubis diastasis >2.5 cm. Neurovascular status of lower extremities intact.
Treatment Protocol
Immediate stabilization via pelvic binder applied at the level of the greater trochanters. Fluid resuscitation initiated per ATLS protocols. Definitive management involves surgical stabilization (ORIF) with anterior plating and/or posterior fixation. Prophylaxis for DVT and pain management initiated.