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Pelvic fractures make up around 3% of adult fractures. [1] Stable fractures generally have a good outcome. [1] The risk of death with an unstable fracture is about 15%, while those who also have low blood pressure have a risk of death approaching 50%. [2] [4] Unstable fractures are often associated with injuries to other parts of the body. [3]
A sacral fracture is a break in the sacrum bone. The sacrum is the large triangular bone that forms the last part of the vertebral column from the fusion of the five sacral vertebrae. Sacral fractures are relatively uncommon. They tend to be caused by high-energy trauma, for example in road traffic accidents or in falls. [1]
Associated surgery should only occur when certain criteria are satisfied. [1] Surgical options, such as the degree of invasiveness, can then be evaluated when deciding on a treatment plan. If complications occur, they are often detected early (during surgery or shortly after) and correlate with the surgical approach.
Sacroiliac joint dysfunction is an outcome of either extra-articular dysfunction or from intraarticular dysfunction. SI joint dysfunction is sometimes referred to as "sacroiliac joint instability" or "sacroiliac joint insufficiency" due to the support the once strong and taut ligaments can no longer sustain.
Pelvic, sacral, and proximal femoral fractures are of increasing significance especially with the aging of the population. [1] Figure 12: Right sacral alar insufficiency fracture in a 29-year-old woman with a 9-year history of corticosteroid therapy for systemic lupus erythematous. Conventional radiographs showed normal appearance (not shown).
Postoperative wounds are those wounds acquired during surgical procedures. Postoperative wound healing occurs after surgery and normally follows distinct bodily reactions: the inflammatory response, the proliferation of cells and tissues that initiate healing, and the final remodeling.
The "Honda sign" (H-pattern [1]) is a radiologic sign seen in case of sacral insufficiency fracture in bilateral sacral insufficiency fractures on a radioisotope bone scan. [2] It gets its name because the shape observed resembles the logo of the Honda motor company, resembling the alphabet "H".
Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting ...