Anatomic, diagnostic and management challenges in paediatric pelvic injuries: a review.

R. Wharton, S. Trowbridge, A. Simpson, K. Sarraf, Y. Jabbar
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引用次数: 6

Abstract

Pelvic injuries have an incidence of 1: 100 000 children per year in the UK, of which 10% are unstable. A literature review was conducted. Clinical examination alone in a stable patient precludes the need for imaging. Imaging options in the acute pelvic injury are critically reviewed. Where appropriate Judet views or limited exposure computed tomography scan remain of diagnostic benefit. Displacement greater than 1 cm should be reduced and held with an appropriate method. Closed reduction and external fixation for rotationally unstable fractures, and closed or open reduction with internal fixation of two columns should be considered for rotationally and vertically unstable fractures.
解剖,诊断和管理挑战在儿科盆腔损伤:回顾。
盆腔损伤的发生率为110万儿童每年在英国,其中10%是不稳定的。进行文献综述。在病情稳定的病人中,单独进行临床检查可以排除影像学检查的需要。影像学选择在急性盆腔损伤是严格审查。在适当的情况下,Judet视图或有限暴露的计算机断层扫描仍然有诊断价值。大于1cm的位移应减小并用适当的方法保持。旋转不稳定骨折应考虑闭合复位外固定,旋转和垂直不稳定骨折应考虑闭合或开放复位内固定两柱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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