Fracture of lumbar and other pelvic bones: a dangerous injury

The pelvis is a part of the human skeleton that is located in the base of the spine and connects the lower limbs with the trunk, and also serves as a reliable support for the entire human body.

The basis is: two pelvic bones, coccyx and sacrum.

Approximately 18 years, the main bones are connected by cartilages, eventually ossification occurs and the pelvic bone is formed. Basic departments:

• upper , wider, large basin( stores abdominal organs);
• lower , a narrower, smaller pelvis( stores the rectum and bladder, as well as in men the prostate gland and seminal vesicles, in women the uterus with appendages and the vagina).

Pelvic injuries

Trauma of pelvic bones

Trauma of pelvic bones

the pelvis is the most severe trauma of the musculoskeletal system and according to the data of modern traumatology it is about 4-8% of the total number of fractures.

Fracture of the pelvis can lead to serious consequences, up to lifelong disability.

Injury is accompanied by loss of blood, damage to internal organs and severe pain, traumatic shock, and sometimes leads to death.

The main causes of injury

As a rule, athletes are prone to pelvic fractures, including bony bone.

Because the injury can happen due to a sharp contraction of the muscles. The risk group also includes older people and those who suffer from osteoporosis.

Pelvic bones are very strong, so that they need to be damaged by strong traumatic factors.

Quite often fractures occur in case of accidents: road crashes or falls from a height.

Injury of the pubic bone of the pelvis occurs due to a squeezing or strong impact.

Complaints of the affected

Allocate the main symptoms that accompany fractures of the pelvic bones:

• edema and hemorrhage under the skin, always occurs as blood vessels are injured;
• pelvic deformities;
• painful shock, which is accompanied by blood loss, decreased blood pressure, increased heart rate, pale skin, sweat, and even loss of consciousness;
• strong and sharp pain, which increases with palpation and movement of the lower limbs;
• is a symptom of a "stitched heel", the victim can not raise his lower limbs, as the pain is greatly intensified.

Features of a trauma of a bony bone

On a photo a fracture of a lumb bone of a basin

At a strong impact or squeezing it is possible to seriously damage all pelvic bones.

Fracture of the pubic bone is dangerous because the urethra can be injured and a symphysis ruptured in men.

As a rule, the urethra detaches from the prostate gland and blood is released from the urethra. The presence of blood in the urine and the violation of urination testify to the trauma of the bladder.

If there is a rupture of the intestine or bladder, the patient has signs of peritonitis.

First aid

Since pelvic injuries are very dangerous, it is urgent to take the patient to the hospital if the injured person has a fracture.

The patient should be transported lying on his back, and put the roller under his knees.

If necessary, give the patient an anesthetic.

Therapy in a medical institution

The general scheme of treatment for fractures of pelvic bones is the following steps.

Pain relief shock

Serious attention is paid to combating traumatic shock with local anesthesia.

uses the method of Shkolnikov-Selivanov, which only the doctor does. To do this, 1% solution of novocaine is injected into the iliac muscle and then it spreads to the fascial region of the pelvis.

If a patient fractures the marginal bone or anterior semicircle, then 1% solution of novocaine is administered at a dosage of 10-15 ml in hematoma over the trauma.

Fighting blood loss

Doctors create compression of damaged pelvic bones.

To do this, use a fixer, which reduces bleeding and which does not interfere with the operation( if necessary).

If profuse bleeding occurs, direct tamponade is used with large napkins that are soaked in a solution of sodium chloride. If there is a need, the loss of blood is compensated.

Therapeutic immobilization

Immobilization of the fracture is performed to ensure that bone fragments do not move and do not injure organs, muscles, nerves and vessels.

In the case of a fracture patient is placed on a special bed with a shield, while minimizing his movements. As a rule, the injured under the knees are placed medical tires or a small pillow.

Surgical intervention

In case of a fracture of the pubic bone, internal organs( urethra, rectum, vagina) suffer and it is important for doctors to restore their functionality.

If the victim has had a rupture of the pubic joint, urgent surgical intervention is necessary.

Individual bones are fixed by means of special plates with screws and metal wire.

Traditional medicine to help

There are several simple methods that help a patient recover from a serious injury:

• for quick bone restoration is advised to eat more boiled onions;
• is recommended to rub the fir oil twice a day on the injury site, it will help with bone fusion;
• mix 20 g of gum, 1 onion( finely chopped), 50 g of olive oil, 15 g of copper sulphate powder;mix the mixture well on the fire for 30 minutes and cool the sore spots with a cooled mixture;
• 1 tablespoon of dog rose and 400 g of boiling water cook for 15 minutes;insist broth in a dark place for 24 hours and take 100 mg twice daily on an empty stomach.

Important role of nutrition

With fractures, it is the diet that helps to enrich the patient's body with useful substances.

Bones can develop and become stronger due to such minerals as: magnesium, phosphorus, potassium and manganese.

To make these elements better absorbed, it is necessary to include vitamin C, D and B vitamins in the diet.

These useful substances will help to assimilate protein and calcium, the bricks from which new bone tissue will be built.

It is important to use the following useful products in which there is:

• magnesium : nuts, bananas, leafy vegetables, coarse bread, herring, shrimp, sea bass, flounder;
• vitamins of group B : beans, citrus, brewer's yeast, beetroot, veal liver;
• vitamin D : fatty fish species;
• calcium : sesame, spinach, cabbage, dairy products, almonds;
• zinc : mushrooms, pumpkin seeds, seafood, buckwheat and oatmeal;
• vitamin K : sour-milk products;
• phosphorus : nuts, cheese, caviar of sturgeon.

Recovery after injury

Rehabilitation is a complex and time-consuming process, to which it is important to take with all seriousness and responsibly fulfill the prescription of doctors.

Rehabilitation after a pelvic fracture includes the following processes:

• physiotherapy;
• therapeutic massage;
  

  Extension with the Hilferding belt

• taking medications;
• use of warming gels, ointments and creams;
• balanced nutrition;
• exercise therapy;
• classes in the water;
• wearing corsets and bandage.

This is indeed very dangerous

Pelvic fractures are very serious, and they threaten serious consequences for the patient.

The ability to work for a man comes back in 3-5 months. Much depends on the patient's age, the severity of the injury and the number of fractures.

Although medicine has achieved good results in the treatment of such injuries, complications and even possible disability occur frequently.

Complications after injury:

• amputation of lower limbs;
• poor mobility of the hip joints;
• change in the shape of the acetabulum and pelvic ring;
• trauma to internal organs;
• shortening of one of the extremities.

Preventative measures

Try to avoid getting such serious injuries that can lead to fracture of the lap or other pelvic bones:

• take care at a height, install handrails along the stairs, put mats on a slippery floor;
• make every effort to avoid accidents;
• adhere to safety rules while doing sports.

Health is very important for every person, so you need to make every effort to keep it and support it.

No one is immune from accidents and if this happens it is important not to fall into despair, but completely trust the professionals and maintain a positive attitude.