Tiến sĩ Flik Tham dự: Bác sĩ phẫu thuật chỉnh hình, Đông Bắc Chỉnh hình, LLP, Albany, NY. Tiến sĩ Kloen là Giám đốc, Chấn thương chỉnh hình, Trung tâm y tế học Amsterdam, Hà Lan. Tiến sĩ Toro là Uỷ viên Chấn thương chỉnh hình, Bệnh viện phẫu thuật đặc biệt, New York, NY. | Orthopaedic Trauma in the Pregnant Patient Kyle Flik MD Peter Kloen MD PhD Jose B. Toro MD William Urmey MD Jan G. Nijhuis MD PhD David L. Helfet MD Dr. Flik is Attending Orthopaedic Surgeon Northeast Orthopaedics LLP Albany NY. Dr. Kloen is Director Orthopaedic Trauma Academic Medical Center Amsterdam The Netherlands. Dr. Toro is Orthopaedic Trauma Fellow Hospital for Special Surgery New York NY. Dr. Urmey is Assistant Attending Anesthesiologist Hospital for Special Surgery. Dr. Nijhuis is Professor Obstetrics and Head Division of Maternal-Fetal-Medicine Academic Hospital Maastricht Maastricht The Netherlands. Dr. Helfet is Attending Orthopaedic Surgeon and Chief Orthopaedic Trauma Service Hospital for Special Surgery. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Flik Dr. Kloen Dr. Toro Dr. Urmey Dr. Nijhuis and Dr. Helfet. Reprint requests Dr. Helfet Orthopaedic Trauma Service Hospital for Special Surgery 535 East 70th Street New York NY 10021. J Am Acad Orthop Surg 2006 14 175-182 Copyright 2006 by the American Academy of Orthopaedic Surgeons. Abstract Trauma affects up to 8 of pregnancies and is the leading cause of death among pregnant women in the United States. A pregnancy test is mandated for all females of childbearing age who are involved in trauma. Orthopaedic trauma in the pregnant patient is managed similarly to that for all trauma patients. Initial resuscitation efforts should focus on the pregnant patient because stable patient vital signs provide the best chance for fetal survival. In the stable patient fetal assessment and a pelvic examination are mandatory. Radiographs as well as abdominal ultrasound of the patient and fetal ultrasound are useful. No known biologic risks are associated with magnetic resonance imaging and no specific fetal abnormalities have .
