Pelvic Bone Fracture
The pelvic bone is the largest bone structure in the body. From above, it receives the spinal column, and, from below it provides articulation (joints) for both thigh bones (femurs). Fracture of the pelvic bone results, almost exclusively, from falls or crushing injuries. Pelvic fractures are painful and patients often cannot bear weight on their lower extremities. Internal bleeding, leading to hemorrhagic shock [and death] can be seen in some cases of severe pelvic fracture (e.g. motor vehicle accidents). A smaller percentage of pelvic fractures will incur associated injuries to the bladder or urethra (most often seen in males). Evaluation includes x-rays of the pelvis. Blood tests, to check blood counts, and urinalysis [to look for blood in the urine], are often necessary. If injury to the genitourinary tract has occurred, blood will be detected in the urine, microscopically. If injury to the urethra or bladder is suspected, a retrograde cystourethrogram will be performed. Intravenous pyelography (IVP) will show any damage to the kidneys or ureters (the tubes that connect each kidney to bladder). In this instance, a Urologist should be consulted. Most minor pelvic fractures can be treated at home with prescription pain medications. The elderly, and those with other tenuating injuries, will likely be admitted to the hospital for observation. The Orthopaedic Surgeon is the expert in the treatment of this injury.
| 
