Background: Patients with forceful trauma frequently have pelvic fractures,
prompt and precise diagnosis can enhance patient outcomes. Whether physical
examination are enough in this situation is still up for debate. The purpose of this
study is to conduct a comprehensive evaluation of research on the diagnostic
efficacy of physical examinations for pelvic fractures in individuals who have
suffered severe trauma. Method: we followed Preferred Reporting Items for a
Systematic Review and Meta-analysis (PRISMA), in this study. We searched
MEDLINE, Cochrane, and PubMed for pertinent studies published between 2009
and 2023. We included 6 studies in our systematic review. Results: Data from
40667 people were included in the research. Four articles were prospective, and
two were retrospective. The majority of the study was carried out at the trauma
centre or emergency department of a university hospital. Emergency physicians
performed physical exams at an emergency department or trauma unit. CT or xray
were used as reference standards. Results from the CT scan, X-ray, and
symptoms criteria showed no significant difference in the absence of a distracting
injury. To reduce the danger of significant pelvic bleeding, it is helpful to apply a
pelvic binder as soon as feasible, depending on the trauma cause or clinical
outcomes. Conclusion: Regardless of the results of a physical examination or the
patient's state of consciousness, imaging tests have to be conducted on all trauma
patients.
Keywords: Emergency department, pelvic trauma, physical examination