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Pelvic Compression Test
Aka: Pelvic Compression Test
- Indication
- Low Back Exam
- Hip Exam
- Secondary Trauma Evaluation
- Background
- Pelvic Compression Test performed in two different settings with vastly different interpretations
- Evaluation: Trauma Exam (Emergency Department)
- Patient lying supine
- Compress iliac crests between examiners two hands
- Pelvic Instability on Compression
- Suggests unstable Pelvic Fracture in the setting of significant Trauma
- Apply Pelvic Binder if Unstable Pelvic Fracture is suspected
- Evaluation: Low Back Exam or Hip Exam (Clinic)
- Patient lying on their side (Clinic Low Back Exam)
- Apply manual pressure downward to iliac crest
- Pain on compression (Clinic Low Back Exam)
- Suggests pelvic dysfunction
- Pain at sacroiliac joint or Symphysis Pubis