Basin Injury

Crises of a basin grow out of a heavy transport or industrial injury, therefore are more often observed at men at the age of 40 years. Basin injury (crises) arise at compression it in anteroposterior or a lateral direction. Regional crises of acting bones, for example iliac bones and crises without infringement and with continuity infringement basin rings are possible. More often breaks pubic and sciatic bones, it is broken off a iliosacral a joint. Acetabulum crises with a separation of edge or bottom crisis can be observed also at the central dislocation. During sorts there is a rupture symphysis. At the complicated crises damages the urinary tracts (a bladder, a urethra), a rectum, vessels and nervous trunks are marked. With growth of vehicles the quantity of the complicated crises proceeding with a heavy shock increases.
At basin gunshot wounds there are open crises with damage basin organs.

The clinical presentation. Victims complain of pains in corresponding departments of a basin. At survey at patients at integrity infringement basin rings come to light deformation of a basin, restriction of movements in finiteness’s. For crisis the pubic bones the symptom of the stuck heel is characteristic: the victim not in forces to tear off a heel from bed, but, if to rise his foot, it keeps it without assistance. At crisis of forward department basin rings there is a symptom of a frog at which knees are bent and dissolved. Finiteness shortening is marked at bottom crisis of an acetabulum and the central dislocation. Sometimes in the field of crisis bruises are visible. At palpation is defined morbidity in the field of crisis, crepitation, and pathological mobility. At palpation through a rectum or a vagina are probed bone fragments (crises of the sacral bone, tailbone, and sciatic bones). Displacement of bone fragments, especially at vertical crises, is defined by measurement from two parties of distance from the top axis iliac bones to an internal anklebone. Definitively the diagnosis is specified by data x-ray a basin.

Damages of the urinary tracts. These damages arise basically at defeat of forward departments of a basin, at ruptures symphysis. In 30 % of cases damage of a bladder and in 70%- urethra is observed. The clinic of the extraperitoneal bladder ruptures is described in corresponding section. At rupture urethra, urination it is detained, from urethra the blood small amount is allocated. A bladder will stretch, acts over pubis. In perineum area it is defined infiltration fabrics owing to a hemorrhage and to impregnate with urine.

Rectum damages. At rupture of the extraperitoneal rectum parts, allocation feces is broken, there is heavy fecal phlegmon arises on a basin cellulose, a condition of patients thus the heaviest. Manual research of a rectum at suspicion on basin crises make necessarily.