骨盆骨折和下肢骨折骨盆骨折和下肢骨折pelvic fractures and pelvic fractures and fractures of the lower extremityfractures of the lower extremityContentsContentsPelvic FracturesFractures of Femoral NeckIntertrochanteric FracturesFractures of the Shaft of the FemurFractures of the Tibia and Fibula Pelvic FracturesPelvic FracturesAnatomyPelvic FracturesPelvic FracturesAnatomy髂腰韧带骶棘韧带骶结节韧带骶髂关节耻骨联合Pelvic FracturesPelvic FracturesClassificationLocation of FractureAvulsion fracturesSacrum and coccyx fracturesSingle breaks in the pelvic ringPelvic ring disruptions ——two or more breaks in the pelvic ringPelvic FracturesPelvic FracturesSacrum and Coccyx fracturesPelvic FracturesPelvic FracturesAvulsion fractures髂前上棘撕脱骨折Pelvic FracturesPelvic Fractures Single breaks in the pelvic ringPelvic FracturesPelvic Fractures Pelvic ring disruptions –two or more breaks in the pelvic ringAO 分型•A 型A-1 – Fracture of innominate bone; avulsionA-2 – Fracture of innominate bone; direct blowA-3 – Transverse fracture of sacrum and coccyx •B 型B-1 – Unilateral partial disruption of posterior arch, external rotation (“open book” injury)B-2 – Unilateral, partial disruption of posterior arch, internal rotation (lateral compression injury)B-3 – Bilateral, partial lesion of posterior arch•C 型C-1 – Unilateral, complete disruption of posterior archC-2 – Bilateral, ipsilateral complete, contralateral incompleteC –3 – Bilateral, complete disruptionPelvic FracturesPelvic Fractures临床特点临床特点（（11 ）剧烈暴力外伤史）剧烈暴力外伤史（（22 ）合并多发伤）合并多发伤（（33 ）大部分病人有休克）大部分病人有休克Pelvic FracturesPelvic Fractures Physical Examination 骨盆挤压分离试验阳性 肢体长度不对称 会阴部瘀斑Pelvic FracturesPelvic FracturesRadiological EvaluationRadiological Evaluation...
