Pelvic ring injuries: classification and treatment

Gray, Andrew T.; Chandler, Henry; Sabri, Omar

doi:10.1016/j.mporth.2022.02.004

Cited by 2 publications

(6 citation statements)

References 7 publications

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“…On the other hand, displaced injury (>2.5 cm) may also affect the posterior ligament structures such as sacrospinous and sacrotuberous ligaments, pelvic floor structures, and sacroiliac ligaments. 13 Evaluation of the integrity of posterior ring elements is paramount, especially when differentiating type B1 with B2 and B3 fractures since posterior fixation is indicated in the latter. The extent of the posterior ring injury may span from simple sacroiliac dislocation, ilium fracture or sacroiliac joint fracture-dislocation which is usually called as crescent fracture.…”

Section: Type B Fracturementioning

confidence: 99%

“…The soft tissues of the pelvic floor and the ligamentous structures that support it are disrupted. 13,18 Internal and external fixation procedures can be used to stabilize rotational and vertical instability in hip fractures [Orthopedic Trauma Association (OTA) 61-C, Tile C]. Because it does not withstand pressure in the posterior pelvic ring, anterior pelvic ring external fixation (ExFix) alone can't give sufficient pelvic stabilization.…”

Section: Type C Fracturementioning

confidence: 99%

“…These fractures might be unilateral or bilateral. The soft tissue of the pelvic floor and the ligamentous structures that support it are disrupted 13 . The posterior weight-bearing SI joints integrity is crucial to the pelvic ring stability.…”

Section: Type C Fracturementioning

confidence: 99%

“…Percutaneous cannulated screw fixation reduces the wound problems due to large surgical wounds. 13 In recent years, iliosacral screw percutaneous for posterior ring fixation has become distinguished choice. This procedure is especially useful for cases with associated skin injury near the incision site.…”

Section: Type C Fracturementioning

confidence: 99%

“…17 These complications include bleeding, nervous system damage (from fracture reduction and surgery to possible compression and damage nerve roots around the pelvis), DVT, pulmonary embolism, soft tissue damage, necrosis and sepsis, malunion of the pelvis and nonunion. 9,13 External fixation is associated with high complication rates, such as infection at the injection site, loose needles, and heavy frames that make it difficult to move and take care of the hip joint. 14,28 Complications usually are found in high-energy fractures which require major surgery, which can also be a cause of the disease.…”

Section: Complicationsmentioning

confidence: 99%

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Definitive Management Option of Pelvic Ring Injury

Chilmi

Dilogo²

2021

Hip Knee J.

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Pelvic ring injury is a rare condition with the incidence of hip fracture about 3% to 8% of all fractures. However, the majority of pelvic fracture patients have a high morbidity rate that could threaten their survival. The majority cause of hip fracture is high energy blunt trauma and is related to polytrauma incident. The main goals of management for pelvic ring injury are to restore the form and stability of the pelvic. The main goal is to prevent nonunion and malunion, which lead to chronic pain and disability. This review is focused on the strengths and weaknesses of the management option, approach and complication for pelvic ring fracture surgery. Complications of pelvic ring fracture surgery are bleeding, nerve damage, DVT, pulmonary embolism, soft tissue injury, sepsis, and malunion of the pelvis and nonunion. Management for pelvic ring fracture surgery is used based on the location and configuration of the fracture, implant availability, surgeon’s preference, and experience.

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Section: Type B Fracturementioning

confidence: 99%

Section: Type C Fracturementioning

confidence: 99%

Section: Type C Fracturementioning

confidence: 99%

Section: Type C Fracturementioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

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Definitive Management Option of Pelvic Ring Injury

Chilmi

Dilogo²

2021

Hip Knee J.

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Role of Multidetector Computed Tomography (MDCT) in the Evaluation of Patients with Pelvic Trauma

Housseini

Yousef

Al-Kady

et al. 2022

Suez Canal University Medical Journal

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Background: Pelvic traumas are severe and disabling injuries. Although plain radiographic evaluation of the pelvis includes many views such as anteroposterior, inlet, and outlet views; however, plain radiographs are not always accurate in the assessment of displacement's degree. Image quality can be compromised by different factors, like suboptimal positioning, obesity, bowel gas, and bladder contrast, also plain radiographs can't assess the associated soft tissue injuries and hematomas. Aim: To evaluate the role of Multidetector Computed tomography (MDCT) as a useful diagnostic modality in the accurate diagnosis of pelvic trauma patients. Subjects and Methods: This cross-sectional descriptive study was carried out in the Diagnostic Radiology Department at Suez Canal University Hospitals from November 2019 to February 2021. It included 20 patients with pelvic trauma that were treated with internal fixation. Results: Regarding age, 70% of cases were in the age group (20-50) years.Regarding gender, males constitute 55% of cases. This study found that the sensitivity of 3D CT in the detection of bone fracture was 100%, specificity was 100%, PPV was 100%, NPV was 100% and accuracy was 100%. The sensitivity of MDCT in the detection of organ injury was 92.3%, specificity was 100%, PPV was 100%, NPV was 87.5%, accuracy was 95%, and accuracy was 95% with area under ROC curve (AUC) 0.99. Conclusions: MDCT is an excellent imaging modality to evaluate patients with pelvic trauma, being a reliable, safe, and non-invasive procedure. It also decreases unnecessary exploration and improves patient survival.

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Pelvic ring injuries: classification and treatment

Cited by 2 publications

References 7 publications

Definitive Management Option of Pelvic Ring Injury

Definitive Management Option of Pelvic Ring Injury

Role of Multidetector Computed Tomography (MDCT) in the Evaluation of Patients with Pelvic Trauma

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