[Abdominal trauma and pelvic injury in the growth period].
Children with pelvic fractures usually are polytraumatized. Concomitant abdominal and pelvic injuries are not uncommon. Medical records and X-rays of 54 children, in which a pelvic fracture was diagnosed at our institution from 1974-1993, were reviewed. Children ages < or = 16 years and treated as in-patients were included in this study. The fractures were classified according to the AO-Classification. 47 patients (87.0%) had concomitant injuries. The mean Polytrauma Score was 23.7 (mean Injury Severity Score 30.5). Nine Children sustained an open pelvic fracture with rectal and/or vaginal tear. 15 genitourinary lesions were found in 13 children. 18 patients underwent laparotomy. A large pelvic/retroperitoneal hematoma was found in 11 cases. There were 7 liver lacerations, 7 splenic injuries, 2 mesenteric tears, 2 kidney injuries and 1 small bowel lesion. Eight children (14.8%) died with 5 of them due to retroperitoneal or/and abdominal bleeding complications. A recent follow-up examination (81.8%) with a mean follow-up of 11.3 years showed that long-term morbidity usually was attributed to pelvic concomitant injuries.
Rieger
H
H
Klinik und Poliklinik für Unfall- und Handchirurgie, Westfälische Wilhelms-Universität Münster.
Neumann
H S
HS
Klein
W
W
Winde
G
G
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005597:Fractures, Open / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D007422:Intestines / Q000293:injuries / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D010384:Pelvic Bones / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology*; D011788:Quality of Life; D016896:Treatment Outcome; D014566:Urogenital System / Q000293:injuries / Q000601:surgery
Bauchtrauma und Beckenverletzung im Wachstumsalter.