Diagnosis Fraktur Pelvis

Oleh :

dr.Eva Naomi Oretla

Diagnosis fraktur pelvis atau fraktur tulang panggul didasarkan pada adanya riwayat trauma pada panggul, yang dapat disertai rasa nyeri dan mati rasa pada ekstremitas bawah. Fraktur pelvis patut dicurigai pada pasien dengan riwayat kecelakaan lalu lintas.[5–7]

Pemeriksaan fisik awal meliputi primary survey untuk menilai airway, breathing, circulation, disability, dan exposure. Selanjutnya dilakukan pemeriksaan fisik head to toe, terutama untuk menilai nyeri pada area fraktur.[5–7]

Pemeriksaan penunjang dapat berupa pemeriksaan laboratorium, seperti serum laktat dan base excess dari analisa gas darah untuk memantau upaya resusitasi. Standar baku emas pencitraan adalah dengan computed tomography (CT) scan panggul.[7]

Referensi

1. Mostafa A, Kyriacou H, et al. An overview of the key principles and guidelines in the management of pelvic fractures. Journal of Perioperative Practice. 2021;31(9):341–348 DOI: 10.1177/1750458920947358
4. Benders K, Leenen L. Management of Hemodynamically Unstable Pelvic Ring Fractures. Front. Surg. 2020;7:601321 DOI:10.3389/fsurg.2020.601321
5. Tomberg S. Pelvic trauma: Initial evaluation and management. UpToDate. 2021.
6. Mann SM, Banaszek D, Lajkosz K, et al. High-energy trauma patients with pelvic fractures: management trends in Ontario, Canada. Injury. 2018;49(10):1830-1840 DOI: https://doi.org/10.1016/j.injury.2018.06.044
7. Coccolini F, Stahel PF, Montori G, et al. Pelvic trauma: WSES classification and guidelines. World Journal of Emergency Surgery. 2017;12(5):1-18 DOI:10.1186/s13017-017-0117-6
8. Moore N. Pelvic Fracture in Emergency Medicine. Medscape. 2017.
10. Moliere S, et al. Pelvic, acetabular and hip fractures: What the surgeon should expect from the radiologist. Diagnostic and Interventional Imaging.2016;97:709-723
DOI: 10.1177/2151459319859139journals.sagepub.com/home/gos
12. Tullington J. Pelvic Trauma. StatPearls. 2021.
13. Davis DD, Foris LA, Kane SM, el at. Pelvic Fracture. StatPearls. 2021
14. Peh W CG. Pelvic Insufficiency Fracture Imaging. Medscape. 2020.
15. Razavian N, Laucis A, et al. Radiation-Induced Insufficiency Fractures After Pelvic Irradiation for Gynecologic Malignancies: A Systematic Review. International Journal of Radiation Oncology • Biology • Physics. 2020;108(3):620-634 DOI:https://doi.org/10.1016/j.ijrobp.2020.05.013
16. Salcedo MP, Sood AK, et al. Pelvic Fractures and Changes in Bone Mineral Density After Radiotherapy for Cervical, Endometrial, and Vaginal Cancer: A Prospective Study of 239 Women. Cancer. 2020;126:2607-2613 DOI: https://doi.org/10.1002/cncr.32807
17. Russell G V. Pelvic Fracture. Medscape. 2020.
25. Zong ZW, Bao QW, et al. Diagnosis and treatment of rare complications of pelvic fractures. Chinese Journal of Traumatology. 2016;19:199-205 DOI: http://dx.doi.org/10.1016/j.cjtee.2015.12.012
26. Marmor M, El Naga AN, Barker J,et al. Management of Pelvic Ring Injury Patients With Hemodynamic Instability. Front.Surg. 2020;7(588845):1-13 doi: 10.3389/fsurg.2020.588845
27. Gdeh D, Haffejee M, Nel M. Frequency of Erectile Dysfunction Following Pelvic Fracture among Patients Admitted to Two Wits Teaching Hospitals, South Africa. Sudan Journal of Medical Sciences. 2018;13(3):145-167 DOI 10.18502/sjms.v13i3.2953
28. Leutournel, Emile. Acetabulum Fractures: Classification and Management. Journal of Orthopaedic Trauma. 2019;33:S1-S2 DOI: 10.1097/BOT.0000000000001424
29. Kazley J. Femoral Neck Fractures. StatPearls. 2021.
31. Bloom B A, Gibbons R C. Focused Assessment with Sonography for Trauma. StatPearls. 2021.
44. Thacker MM, Tejwani N, Thakkar C. Acetabulum fractures. Medscape. 2020

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