"Posterior arterial bleeding (internal iliac or its posterior branches) was statistically more common in patients with unstable posterior pelvic fractures, and anterior arterial bleeding (pudendal or obturator) was more common in patients with lateral compression injuries."
| TITLE: | Angiographic findings in pelvic fractures. | ||||||
|---|---|---|---|---|---|---|---|
| AUTHORS: | O'Neill PA; Riina J; Sclafani S; Tornetta P 3rd | ||||||
| AUTHOR AFFILIATION: | Kings County Hospital Center, Brooklyn, NY, USA. | ||||||
| SOURCE: | Clin Orthop 1996 Aug;(329):60-7 | ||||||
| CITATION IDS: | PMID: 8769437 UI: 96365238 | ||||||
| ABSTRACT: | Pelvic fractures are high energy injuries indicative of significant trauma. Hypotension and significant blood loss is common in skeletally unstable pelvic fractures. Potential sites of intrapelvic bleeding include fractured bone edges, venous injuries and/or arterial vascular injuries. In an attempt to define the relationship of fracture pattern to arterial injury, a specific subset of 39 patients with pelvic fractures who underwent angiography for hemodynamic instability or ongoing blood loss were reviewed retrospectively. In 35 patients with definable arterial injuries, 20 (57%) had multiple bleeding sites. Posterior arterial bleeding (internal iliac or its posterior branches) was statistically more common in patients with unstable posterior pelvic fractures, and anterior arterial bleeding (pudendal or obturator) was more common in patients with lateral compression injuries. The pudendal artery was the most commonly injured vessel in this series. The superior gluteal artery was the most commonly injured vessel associated with posterior pelvic fractures. There was no correlation between fracture pattern and survival. The injury severity score however, did indirectly correlate to survival. In addition, the presence of hypotension (systolic blood pressure < or = 90) at the time of arrival to the trauma center was found to significantly increase mortality. | ||||||
| MAIN MESH HEADINGS: |
Fractures, Closed/*radiography Pelvic Bones/*injuries Pelvic Bones/*radiography | ||||||
| ADDITIONAL MESH HEADINGS: |
Adolescence Adult Aged Aged, 80 and over Angiography Blood Vessels/injuries Child Female Human Male Middle Age Pelvis/blood supply Retrospective Studies 1996/08 1996/01 00:00 | ||||||
| PUBLICATION TYPES: | JOURNAL ARTICLE | ||||||
| LANGUAGES: | Eng | ||||||