![]() Pelvic angio-embolization should be considered in patients with evidence of persistent blood loss with no evidence of intra-abdominal bleeding prior to surgical fixation 3,4. This may result in pelvic, thigh and/or retroperitoneal hemorrhage. Pelvic fractures carry a significant risk of uncontrolled pelvic bleeding and exsanguination from pelvic fractures is a real possibility. iliac wing fracture ( Duverney fracture).Isolated stable pelvic fractures can also occur in the context of lower energy mechanisms or sporting injuries: The Tile classification of pelvic fractures is based on stability rather than mechanism and is considered the precursor of the Young and Burgess system. combined mechanical: occur when two different force vectors are involved and result in a complex fracture pattern.vertical shear: results in Malgaigne fracture or bucket handle fracture.lateral compression: result in a windswept pelvis.anteroposterior compression: result in an open book or sprung pelvis fractures.Classificationįour main forces have been described in high-energy blunt force trauma that results in unstable pelvic fractures as described in the Young and Burgess classification 1,3,5: ![]() Injuries that result in disruption of the pelvic rings result in a significantly worse prognosis.ĭirect impact low-to-moderate energy injuries usually result in a solitary and localized fracture. Compression injuries tend to cause fractures that involve the pelvic ring and are unstable. The potential morbidity associated with these fractures is related to the involvement of the pelvic ring. The type of fracture that occurs as a result of the type of injury (impact or compression), the energy involved and the strength of the bones. ![]() Pelvic insufficiency fractures are common in the elderly. Most pelvic fractures result from trauma 3: They will often be immobilized by ambulance crews on arrival and potentially have other life-threatening conditions associated with high-energy trauma. Patients tend to present following trauma with pelvic/hip pain. Like much trauma, there is a bimodal distribution with younger male patients involved in high-energy trauma and older female patients presenting after minor trauma. To the film’s credit, Black Canary’s final costume at the tail-end of BoP is a cheeky nod to her dark blue jumpsuit, a costume that was considered by many to be too excessive, even for 1980s comic books.Pelvic fractures can be seen in any group of patients. From fishnets and booty-shorts to 40s-inspired pinup, Dinah has always made bold fashion choices with her style. While some comic book fans have complained about Dinah’s wardrobe being “inaccurate” to the source material in BoP, it should be noted that the character has undergone several major makeovers over the course of her 73 years of crime fighting. When Black Masks’s endless battalion of goons rush toward Harley’s old hideout, Dinah uses the canary cry to smash their blitz and allow them to escape, but the effort exhausts her to the point of nearly passing out. Shattering eardrums takes its toll on Dinah’s vocal cords, and its typically something she can only do in a pinch. Though comics are hardly known for their consistency when it comes to superpowers, the general consensus among writers is that the canary cry has the power of a sonic boom with a fairly wide area of effect, but it’s unfortunately a one-hit-wonder in a fight. As far as Dinah’s signature canary cry, BoP does a great job depicting both its strengths and its limits.
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