Pelvisfrakturer

Pelvisfrakturer are breaks in the bones of the pelvis, the large, ring-shaped bony structure that connects the spine to the legs. These fractures can range from minor cracks to severe displacements of multiple pelvic bones. They are often caused by high-energy trauma such as car accidents, falls from significant heights, or crushing injuries. In older adults, less severe falls can also lead to pelvic fractures due to bone weakening from osteoporosis.

The severity of a pelvis fracture dictates the symptoms, which can include intense pain, inability to walk or stand, bruising, swelling, and sometimes internal bleeding. Depending on the location and extent of the fracture, there may be associated injuries to organs within the pelvis, such as the bladder, intestines, or reproductive organs, as well as damage to blood vessels and nerves.

Diagnosis typically involves a physical examination, X-rays, and often a CT scan to fully visualize the extent of the injury and any associated damage. Treatment varies widely. Stable, non-displaced fractures may be managed conservatively with pain medication, rest, and gradual mobilization. Unstable or displaced fractures, or those with significant bleeding or organ damage, often require surgical intervention. Surgery may involve external fixation, where pins are inserted into the bone and connected to an external frame, or internal fixation, using plates, screws, or rods to stabilize the broken bones. Rehabilitation and physical therapy are crucial components of recovery, aiming to restore strength, mobility, and function. The prognosis depends on the type of fracture, the presence of other injuries, and the effectiveness of treatment.