Does Sacrococcygeal Skeletal Morphology and Morphometry Influence Pressure Injury Formation in Adults?

Delmore, Barbara; Sprigle, Stephen; Samim, Mohd; Alfonso, Allyson R.; Lin, Lawrence Hsu; Chiu, Ernest S.

doi:10.1097/01.asw.0000874180.84660.8b

Cited by 5 publications

(4 citation statements)

References 57 publications

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“…Delmore et al 23 proposed that patients with pressure injuries tend to have a smaller sacrococcygeal angle and a larger intercoccygeal angle. In this context, the intercoccygeal angle mentioned in our paper should be understood as the difference between 180° and the intercoccygeal angle value measured in their study.…”

Section: Discussionmentioning

confidence: 99%

Rotational V-Y Fasciocutaneous Advancement Island Flap to Cover Deep Sacrococcygeal Defects due to Pilonidal Disease, Pressure Ulcers, and Other Inflammatory Conditions

Baek,

Kim,

Kim

et al. 2023

The American Surgeon™

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The sacrococcygeal area supports the lower body and endures mechanical forces during movement. However, current treatment methods for deep caudal sacrococcygeal defects have limitations, resulting in insufficient tissue for deep pocket obliteration and considering only the two-dimensional advancement plane in a three-dimensional defect topology. Our study proposes using a rotational V-Y fasciocutaneous advancement island flap to reconstruct deep caudal sacrococcygeal defects. By considering the three-dimensional nature of the defect, we distinguish a coccygeal plane of the V-Y flap from a sacral plane and set different directions and depths of movement for each plane. From March 2016 to July 2022, 12 patients underwent successful treatment with this surgery, and no complications or recurrences were observed in the study group. Our research found that patients in our study exhibited a smaller intercoccygeal angle than the average angle of the general Korean population, as previously reported. This implies a more pronounced curvature between the sacral and coccygeal planes. Therefore, our methods, which consider the three-dimensional structures of sacrococcygeal pathology, are significant. This technique provides a mechanically robust reconstruction after resecting deep sacrococcygeal pathology, with well-padded tissue to prevent dead space and wound disruption.

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Section: Discussionmentioning

confidence: 99%

Rotational V-Y Fasciocutaneous Advancement Island Flap to Cover Deep Sacrococcygeal Defects due to Pilonidal Disease, Pressure Ulcers, and Other Inflammatory Conditions

Baek,

Kim,

Kim

et al. 2023

The American Surgeon™

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show abstract

“…A patient's skeletal morphology may be an intrinsic nonmodifiable risk for Prl. 34 In addition, physical changes in persons with spinal cord injury may increase PrI risk, such as changes in the sacral and ischial area that lead to skeletal muscle atrophy, fat infiltration into muscles, bone shape loss leading to flattening of the tips of the ischial tuberosities, and thinning of the skin around the ischial tuberosities. 35 In a study that evaluated patients with (n = 15) and without (n = 15) full-thickness sacrococcygeal PrIs, Delmore and colleagues 34 found that patients with PrIs had different morphology and morphometry.…”

Section: Anatomic Pri Locationsmentioning

confidence: 99%

“…A patient’s skeletal morphology may be an intrinsic nonmodifiable risk for Prl 34 . In addition, physical changes in persons with spinal cord injury may increase PrI risk, such as changes in the sacral and ischial area that lead to skeletal muscle atrophy, fat infiltration into muscles, bone shape loss leading to flattening of the tips of the ischial tuberosities, and thinning of the skin around the ischial tuberosities 35 .…”

Section: Beyond Risk Assessment Scalesmentioning

confidence: 99%

Braden Scales for Pressure Injury Risk Assessment

Delmore

Ayello

2023

Adv Skin Wound Care

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“…A recent retrospective case-control study by Delmore and colleagues compared the skeletal sacrococcygeal region of 15 patients with full-thickness PIs to 15 patients without fullthickness PIs using MRIs 38 . The premise of this study was to determine if the skeletal sacrococcygeal region may act as a possible intrinsic PI risk factor.…”

Section: Specific Anatomical Areas At Riskmentioning

confidence: 99%