Pelvic ramus fractures in the elderly: 50 patients studied with MRI.
Acta Orthop
; 76(4): 513-6, 2005 Aug.
Article
en En
| MEDLINE
| ID: mdl-16195067
ABSTRACT
BACKGROUND:
Whilst it is well known that fractures of the pelvic rami in the elderly are frequently associated with posterior ring injuries, the extent of this second injury is less well known. We evaluated this question by MRI scanning a group of elderly patients presenting at our unit with pelvic rami fractures. PATIENTS ANDMETHODS:
We investigated 50 consecutive elderly patients (45 women) with fractures of the pelvic rami using an MRI scan of the pelvis in order to assess the competency of the pelvic ring.RESULTS:
On MRI, 45 (95% CI 42-48) patients had a sacral fracture. At 5-month follow-up, 39 (of 41 reviewed) still complained of posterior sacral tenderness.INTERPRETATION:
Pelvic rami fractures in the elderly are nearly always associated with posterior ring injuries. This probably explains why these patients take longer to rehabilitate than might be expected if only the anterior injury is considered, and it also explains why they experience long-term back pain.
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Base de datos:
MEDLINE
Asunto principal:
Huesos Pélvicos
/
Hueso Púbico
/
Fracturas Óseas
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Acta Orthop
Asunto de la revista:
ORTOPEDIA
Año:
2005
Tipo del documento:
Article
País de afiliación:
Reino Unido