Pelvic Ring Injury, CT, vertical shear
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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.
CA0540-Pelvic Ring Injury, CT, vertical shear
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CA0540-Pelvic Ring Injury, CT, vertical shear
Case ReportHistory
Exam
Prior Study
Findings
Findings
Acute fractures of the left superior pubic ramus at the pubic root, of the left inferior pubic ramus at the junction with the pubic body, and of the inferior pubic ramus at the junction of the pubis and ischium.
Comminuted fracture of the left iliac bone. There is a dominant vertically oriented fracture component of the posterior ilium extending from the iliac crest to the greater sciatic notch resulting in an isolating fragment containing the posterior superior and posterior inferior iliac spines. This fragment maintains approximation to the sacrum. The more anterior iliac fragment (containing the acetabulum and ischium) is posteriorly, superiorly, and laterally displaced with respect to the sacrum and posterior iliac fragment. In addition, there is a fracture component in the axial plane superiorly involving the iliac crest.
Displacement of the iliac fragment results in widening of the left sacroiliac joint.
Mild posterior subluxation of the left pubis with respect to the right pubis at the level of the pubic symphysis. Vertical alignment is maintained.
Hemorrhage and edema in the left anterior retroperitoneum adjacent to the left obturator ring fractures, adjacent to the bladder. Bladder is decompressed around a Foley catheter. Gas in the bladder is presumably from instrumentation. Bilateral physiologic adenxal cysts.
Impression
Soft tissue edema and hemorrhage in the left anterior retroperitoneum adjacent to the bladder.
No evidence for active hemorrhage.
Recommendations
Orthopedic consultation.
