Two ligaments originate from the side and back of the sacrum and insert into the ischial spine and ischial tuberosity. A large array of ligaments traverses the interior and exterior surface of the posterior aspect of the pelvis. These are crucial for maintaining pelvic stability. Strong ligaments keep these three bones together. The three bones compose the pelvis (the sacrum and the two innominate bones).

You placed a pelvic binder and ordered a pelvic X-ray. During the secondary survey, pelvic bones are not stable, and there is a pain on palpation. She is hemodynamically stable with vital signs as follows: temperature of 36.4☌, heart rate of 70 bpm, blood pressure 120/80 mmHg, respiratory rate 10/min, oxygen saturation 99% on room air. Case PresentationĪ 27-year-old woman was in a car accident. Patients who survive a pelvic fracture are at risk for significant complications such as chronic pain, leg length discrepancy, sexual dysfunction, or nerve palsy. Isolated ring fractures, however, tend to be stable. If the pelvic ring is broken in two places, the fracture is likely to be unstable. Fractures may be associated with vascular, soft tissue and visceral injuries. Usually, injuries are secondary to massive force, such as a road traffic accident or fall from a height. The mortality from pelvic fractures in patients who reach hospital is reported to be between 7.6% and 19%. The prevalence of pelvic fracture in studies of patients with blunt trauma is between 5% and 11.9%. Pelvic fractures carry life‐threatening injury potential which should be identified or suspect during the primary assessment of patients with major trauma. By Sara Nikolić and Gregor Prosen Introduction

Normal hip xray description