Write 5 pages thesis on the topic open-book pelvic fracture. This injury is common among the victims of motorcycle accidents. Depending on the severity of the injury, surgical reconstruction may be needed before the area is rehabilitated. This type of injury increases the risks of hemorrhage following vessel injury or infection, leading to high levels of mortality (Walker, 2011). This paper will explore open-book pelvic fractures, including anatomy, pathogenesis, etiology, radiographic indications and demonstrations, imaging modalities for diagnosis, treatment and prognosis.
The common type of open book fracture is that which results from an external rotational movement at the hip joint area or an anteroposterior compressive injury of the pelvis, which opens the pelvis like a book, due to the disruption of the symphysis pubis (Walker, 2011). The extensive anatomical examination of the injury shows a continuum of injury, similar to the case with other pelvic disruptions. The examination reveals that the initial force leads to the avulsion of the symphysis pubis, in some cases, with a bone shell or through the fibers in the area (AAOS, 2009, pp. 154). The continuation of the force leads to the tearing of the pelvic floor fascia and also the rapture of the anterior sacroiliac ligaments, either bilaterally or unilaterally. The posterior ligaments of the region are not affected, and that maintains vertical stability. Other forms of the anteroposterior compressive injury include the case where, instead of the disruption of the anterior ligaments, the ilium is the one that fractures. Anteriorly, instead of the fracturing of the symphysis avulsion, the pubic rami may fracture (AAOS, 2009, pp. 154).
An open book fracture is caused by an anteroposterior compressive injury at the pelvis. The compression injury leads to the disruption of the symphysis pubis.