Musculoskeletal Trauma in Polytrauma Victims. Kris Arnold, MD, MPH. Musculoskeletal Trauma in Multitrauma Patients. 85% of multi trauma patients have musculoskeletal trauma Rare immediate threat to life or extremity viability Indicator of risk for torso injury
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Kris Arnold, MD, MPH
Image Source: http://basicxray.blogspot.com/2009/08/normal-pelvic-anatomy.html
Image source: Michael E. Stadnick, M.D http://www.radsource.us/clinic/0806
Binding force at level of trochanters
Image source: Michael T. Archdeacon, MD http://www.aaos.org/news/aaosnow/jul09/clinical8.asp
Photo source: Bush LA, Chew FS. Subtrochanteric femoral insufficiency fracture in woman on bisphosphonate therapy for glucocorticoid-induced osteoporosis. Radiology Case Reports. [Online] 2009;4:261.
Extremity Vascular Injury Evaluation
Evaluate Distal Perfusion
Reevaluate Distal Perfusion
Fractures and Crush Injurues
Electrocution/ Thermal Burns
“Tea colored” urine
Heme + urinalysis dip
No red blood cells on microscopic