Locked Pubic Symphysis with Ipsilateral Fracture Neck of a Femur

Ansari, Suhail; Rollins, James; Ebraheim, Nabil A.

doi:10.1097/01.ta.0000051938.14606.fc

Cited by 13 publications

(15 citation statements)

References 7 publications

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“…Eggers, in 1952 stated that the symphysis locked can either be anterior or posterior [3]. Most reported cases in literature are locked posteriorly [2,4,[10], [11], [12]], as in our case. Most reported cases of locked pubic symphysis have been hemodynamically stable.…”

Section: Discussionsupporting

confidence: 55%

See 1 more Smart Citation

Locked book pubic symphysis: A case report in a resource-limited setting in sub-Sahara Africa

Fola

Guifo

Tsiagadigui

et al. 2019

International Journal of Surgery Case Reports

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Section: Discussionsupporting

confidence: 55%

“…This type of injury was first described in English literature in 1952 by Eggers [3]. To the best of our knowledge, there are less than twenty cases in English literature since it original description [2,[4], [5], [6]]. Also, there is no mention of this injury in Cameroon.…”

Section: Introductionmentioning

confidence: 99%

Locked book pubic symphysis: A case report in a resource-limited setting in sub-Sahara Africa

Fola

Guifo

Tsiagadigui

et al. 2019

International Journal of Surgery Case Reports

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“…If the closed reduction is unsuccessful, open reduction should be attempted. Open reduction has been recommended [1,8,10]. In our patient, the locked pubic symphysis occurred through a lateral compression mechanism and was not reducible with closed reduction techniques.…”

Section: Discussionmentioning

confidence: 99%

“…Although lateral compression pelvic injuries are well recognized, those resulting in a locked pubic symphysis are uncommon. To the best of our knowledge, there are fewer than 10 case reports in the English language literature regarding this injury since its original description in 1952 [1,5,6,[8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Case Report: Locked Pubic Symphysis: An Open Reduction Technique

Cannada¹,

Reinert

2009

Clinical Orthopaedics &Amp; Related Research

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A locked pubic symphysis occasionally occurs after a lateral compression injury of the pelvic ring. One pubic bone becomes entrapped behind the contralateral pubis. Lateral compression pelvic injuries are well recognized, but a lateral compression pelvic injury resulting in a locked pubic symphysis is rare. We describe a locked pubic symphysis with greater than 4 cm overlap that was reduced with simple maneuvers and readily available instruments.

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“…However this maneuver has the risk of causing fracture in the femoral neck. It is reported that reduction may be provided by stabilizing the opposite iliac bone and using the femur as a lever in Figure 4 [7] or by applying longitudinal traction to the affected lower extremity; [6,8] by applying lateral compression while pressing directly on the symphysis pubis; [2,4] or by pressing on the symphysis pubis while distracting bilaterally over both iliac crests. [3] Botanlıoğlu et al [9] reported that after lateral compression provided by an external fixator placed on both iliac crests, open reduction could be obtained by force applied from the anterior to the posterior with an elevator as a convex surface directed towards the pelvis placed between the pubic bone and opposite the pubic tubercle through the obturator foramen.…”

Section: Discussionmentioning

confidence: 99%

Closed reduction and fixation of locked symphysis pubis using tubular external fixator: a case report

Halıcı

Karaman

Kafadar

et al. 2013

Eklem Hastalik Cerrahisi

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Pelvic injuries usually occur in young adults as a result of high-energy trauma such as motor vehicle accidents or falling from a height; more rarely they occur in older people with osteoporosis as a result of low-energy trauma such as falling while standing. Sometimes one pubic bone is entrapped behind the other or opposite the obturator foramen. For treatment of this kind of injury closed reduction may be obtained in some cases and plate-screw fixation or external fixation can be used following open reduction when closed reduction cannot be obtained.We present a case of locked symphysis pubis treated by closed reduction using a tubular fixator and review the literature. CASE REPORTAfter being evaluated in another hospital due to an out of vehicle traffic accident, a 31-year-old female patient was in good general condition with normal consciousness when assessed in the emergency department of our hospital to which she was transferred. There was tenderness on the patient's symphysis pubis and in the lumbosacral region; in addition pelvic compression examination was painful. Neurological examination and the peripheral circulation of the patient were normal. On plain radiographs ( Figure 1) and computed tomography (CT) (Figure 2) scans of the patient the left pubis was locked overlapping the superoposterior right pubis and a non-displaced facet joint fracture of the S1 vertebra (Figure 3) was detected. There was no pathology in the patient's abdomen and pelvic organs.The next day the patient underwent surgery. First, a tubular fixator device with compression bars was placed in both iliac wings under fluoroscopic assistance. The locking situation was corrected by Simfiz pubisin kilitlenmesi, yandan gelen sıkıştırıcı kuvvetler sonrasında bir pubik kemiğin diğerinin arkasında ya da karşı obturator foramende takılı kaldığı bir pelvis yaralanması türüdür. Bu makalede 31 yaşında kadın hastada tübüler eksternal fiksatör kullanılarak kapalı redüksiyon ile tedavi edilen bir kilitli simfiz pubis olgusu sunuldu. Tübüler eksternal fiksatörlerin kilitli pelvis yaralanmalarında kapalı redüksiyon manevralarının uygulanmasında yararlı olduğuna ve bu cihazların açık redüksiyon gereksinimini azalttığı gibi, dahili implant kullanma gereksinimini de azaltacağına inanmaktayız.Anahtar sözcükler: Kapalı redüksiyon; kilitli simfizis pubis; tübüler eksternal fiksatör.Locked symphysis pubis is a kind of pelvic injury in which one pubic bone is jammed in the back of the other or opposite the obturator foramen following lateral compression forces. In this article, we present a 31-year-old female case of locked symphysis pubis which was treated by closed reduction using tubular external fixator. We believe that tubular external fixators are useful devices to perform closed reduction maneuvers for locked pelvic injuries and also help to reduce the need for open reduction and internal implant usage.

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Locked Pubic Symphysis with Ipsilateral Fracture Neck of a Femur

Cited by 13 publications

References 7 publications

Locked book pubic symphysis: A case report in a resource-limited setting in sub-Sahara Africa

Locked book pubic symphysis: A case report in a resource-limited setting in sub-Sahara Africa

Case Report: Locked Pubic Symphysis: An Open Reduction Technique

Closed reduction and fixation of locked symphysis pubis using tubular external fixator: a case report

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