Lecture on Pelvic Injury Management: Classification , Diagnosis & Treatment | MBBS скачать в хорошем качестве

Lecture on Pelvic Injury Management: Classification , Diagnosis & Treatment | MBBS

Master the assessment and management of pelvic injuries with this comprehensive orthopedic trauma lecture. This session is designed for medical students, orthopedic and trauma residents, emergency physicians, and radiologists, covering pelvic anatomy, radiographic interpretation, classification systems (Young & Burgess, Tile), stability assessment, and detailed management strategies from initial stabilization to definitive fixation. This in-depth lecture explores critical aspects of pelvic trauma, including: [00:17] Pelvic Anatomy: Ring structure, [00:30] bones (innominate, sacrum, symphysis pubis), [02:33] stabilizing ligaments, and [02:54] nearby neurovascular/visceral structures. Radiographic Evaluation: [04:36] Standard Projections: [05:35] Anterior-Posterior (AP) view. [05:43] Inlet View: Assessing AP displacement. [06:45] Outlet View: Assessing vertical displacement. [07:34] CT Scans: For detailed fracture morphology. [08:48] Understanding Pelvic Instability: Definition . Classification Systems for Pelvic Injuries: [10:25] Young and Burgess Classification: Based on mechanism (Anteroposterior Compression - APC, Lateral Compression - LC, Vertical Shear - VS). [16:17] Tile Classification: Based on pelvic ring stability. Management of Pelvic Injuries: [17:41] Initial Stabilization: Prioritizing ABCs in trauma. [18:41] Assessment & Classification: Evaluating injuries. [19:21] Clinical Stability Tests: Palpation and traction techniques. [19:56] Imaging: Role of X-rays and CT scans. Treatment Approaches: [29:14] Temporary Stabilization: Pelvic binders or sheets. [30:28] External Fixation: Application and purpose. Hemorrhage Control: [32:00] Pelvic packing and [32:29] angiography/embolization. [32:47] Damage Control Surgery: Principles. [33:38] Definitive Management: Conservative vs. Open Reduction and Internal Fixation (ORIF). Special Considerations: [21:14] Open Pelvic Injuries: Need for aggressive debridement. [21:51] Associated Urological Injuries: Assessment for bladder/urethral damage. [23:32] Internal Degloving (Morel-Lavallée lesion): Recognition and intervention. [25:30] Radiographic Signs of Instability: Displacement , posterior fracture, avulsion fractures. Key Learning Objectives: Understand the functional anatomy of the pelvic ring and its stabilizing structures. Interpret standard radiographic views (AP, Inlet, Outlet) for pelvic trauma assessment. Apply the Young & Burgess and Tile classification systems to pelvic injuries. Master the principles of initial assessment and management of patients with pelvic trauma, including hemorrhage control. Learn about temporary stabilization techniques (binders, external fixation) and definitive fixation options. Recognize associated injuries and special considerations like open fractures and internal degloving. This lecture is essential for: Medical students (MBBS) and residents (Orthopedics, General Surgery, Trauma Surgery, Emergency Medicine, Radiology). Practicing Orthopedic and Trauma Surgeons. Emergency Physicians and Trauma Team members. Radiologists interpreting trauma imaging. Paramedics and first responders involved in trauma care. SANTINIKETAN MEDICAL COLLEGE & HOSPITAL Real Classroom Demonstration/Lecture On: ORTHOPAEDICS by Dr. Saubhik Das (MBBS Batch: 2021-22) Conducted on: 05-04-25