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The Vancouver classification is a grading system used in orthopaedics to determine management of post-operative periprosthetic femoral fractures following a hip arthroplasty. It is named for the city Vancouver , home to the University of British Columbia where the authors of the 1995 paper worked.
In the United States of America, about 10 percent of people that seek treatment at a level 1 trauma center after a blunt force injury have a pelvic fracture. [21] Motorcycle injuries are the most common cause of pelvic fractures, followed by injuries to pedestrians caused by motor vehicles, large falls (over 15 feet), and motor vehicle crashes.
The fracture is often unstable. [1] Treatment may be conservative with the use of a brace or via surgery. [1] The fracture is currently rare. [7] It was first described by G. Q. Chance, a radiologist from Manchester, UK, in 1948. [3] [13] The fracture was more common in the 1950s and 1960s before shoulder harnesses became common. [3] [5]
Left Upper Quadrant of the abdomen (Perisplenic view). Left upper quadrant is examined by working your probe down the midaxillary line starting at the left 8th rib to the 11th rib. This examines for free fluid around the kidney and spleen. Pelvic views (Long and transverse axis). The suprapubic view helps assess for free fluid in the pelvic cavity.
External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
It aims to break up adhesions (scar tissue) on and around spinal joints as the cervical, thoracic, lumbar, sacral, and pelvic regions, or extremity joints as the knee, shoulder and hip, to which a restricted range of motion can be painful and limit function. Failed attempts at other standard conservative treatment methods (i.e., manipulation ...
Abbreviated Injury Score-Code is on a scale of one to six, one being a minor injury and six being maximal (currently untreatable). [1] An AIS-Code of 6 is not the arbitrary code for a deceased patient or fatal injury, but the code for injuries specifically assigned an AIS 6 severity. [1]
They are caused by direct trauma to the iliac wing, and are generally stable fractures as they do not disrupt the weight bearing pelvic ring. [1] The fracture is named after the French surgeon Joseph Guichard Duverney who described the injury in his book Maladies des Os which was published posthumously in 1751. [2]