MSK: Pelvic Fractures: Free MSRA Podcast

🎧FREE MSRA PODCAST –Pelvic Fractures: From Bruise to Binder 🚨In this MSRA-focuseddeep dive, we unpack Pelvic Fractures –from low-energy falls in the elderly to life-threatening open-book injuries. Understandthe classifications, complications, and criticalred flags, with mnemonics and clearexam-ready breakdowns. 🧠Key Learning Points –Pelvic Fractures for the MSRA✅Definition &Basics• Fractures of anypelvic ring bone: ilium, ischium, pubis, sacrum, coccyx• Often involve major blood loss and internal injuries – notjust ‘broken bones’ ⚙️Causes (Aetiology)• High-energy trauma: RTCs, falls from height• Low-energy trauma: elderly patients withosteoporosis• Avulsion fractures: strong muscle pull (e.g.athletes) 📚ClassificationSystems (Simplified)📘Tile Classification• Type A – Stable• Type B – Rotationally unstable (e.g. open book)• Type C – Totally unstable (rotational + vertical)🔄Young-BurgessClassification• APC(Anterior-Posterior Compression)• LC (LateralCompression)• VS (VerticalShear)• CM (CombinedMechanism)🚑WSES Emergency Grade• Grade I – stable,normotensive• Grade IV –unstable fracture with shock (clinicalred flag) 🧪Investigations• AP pelvic X-ray → CT with contrast for fracturedetail• FAST scan – bleeding?• Urine dip, pregnancy test, serial Hb,hematocrit• Retrograde urethrogram if urethral injurysuspected• Angiogram + embolisation if active bleed seen 🩻Mnemonics🩸TBSC = Tenderness, Bruising, Swelling, Crepitus⚠️HUB = High-riding prostate, Urethral blood, Boggyperineum 🩹Management Overview🟢Stable fractures(Type A)• Analgesia, bedrest, gradual mobilisation• Avulsions: usuallyconservative• DVT prophylaxis🔴Unstable fractures(Type B/C)• ATLS resuscitation• Pelvic binders/sheets → reduce bleeding• Avoid rolling the patient• Angioembolisation or external fixation• Surgical repair if required🧴Avoid catheter if urethral injury suspected💉Suprapubic catheter may be safer option 📉Complications toRemember• Massive haemorrhage → shock or death•Urethral/bladder/rectal injury• Nerve damage, sexual dysfunction• Post-traumatic arthritis, chronic pain• DVT/PE• Sepsis, pelvicabscess• Delayed union ormalunion• High mortality in open fractures and grade IV trauma 📎More MSRA Resources –Pelvic Fractures📘 Revision Notes:https://www.passthemsra.com/topic/pelvic-fractures-revision-notes/🧠 Flashcards:https://www.passthemsra.com/topic/pelvic-fractures-flashcards/📖 Accordion Q&A Notes:https://www.passthemsra.com/topic/pelvic-fractures-accordion-qa-notes/🎯 Rapid Quiz:https://www.passthemsra.com/topic/pelvic-fractures-rapid-quiz/🧪 Quiz:https://www.passthemsra.com/quizzes/pelvic-fractures/ 🌐 Explore even more free revision tools at:✅PassTheMSRA.com🔓FreeMSRA.com Hashtags#MSRA#PelvicFractures #MSRARevision #MSRAQuiz #MSRAFlashcards #MSRAQuestionBank#MSRAAccordions #MSRATextbook #TraumaMSRA #EmergencyMSRA #PassTheMSRA #FreeMSRA