Pelvic Ring Injury, CT, lateral compression
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0534-Pelvic Ring Injury, CT, lateral compression
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CA0534-Pelvic Ring Injury, CT, lateral compression
Case ReportHistory
Exam
Prior Study
Findings
Findings
Nondisplaced impaction fracture of the left sacral ala which does not extend into the sacral foramina (Denis zone 1).
Minimally displaced fracture of the RIGHT pubic body. Comminuted fracture of the LEFT superior pubic ramus and LEFT pubic body. Transverse fracture of the LEFT inferior pubic ramus. Sagittally oriented fracture of the LEFT posterior ilium (“crescent fracture”).
Sacroiliac joints demonstrate normal alignment with mild degenerative changes. Pubic symphysis is within normal limits.
Hematoma adjacent to the left obturator ring fractures, extending to the bladder. There is bladder wall thickening. No contrast extravasation though evaluation limited in this regard as the bladder is not fully distended.
Hematoma about the right external iliac vein which may be related to vascular access. No evidence for active extravasation or dissection. Atherosclerosis.
Bilateral moderate hip osteoarthritis. Osseous mineralization is mildly decreased diffusely.
Retroperitoneal gas locules are related to recent exploratory laparotomy.
Impression
Hematoma adjacent to the left obturator ring fractures extending to a thickened bladder wall.
Hematoma adjacent to the right external iliac vein which may be related to recent vascular access.
