11,424 results match your criteria Fracture Pelvic


Bone lesions of Langerhans cell histiocytosis triggered by trauma in children.

Pediatr Int 2022 Jan;64(1):e15199

Department of Laboratory Medicine, Uji-Tokushukai Medical Center, Uji, Kyoto, Japan.

Background: Bone lesions of Langerhans cell histiocytosis (LCH) may be triggered by trauma.

Methods: The characteristics of pediatric patients in the JLSG-02 study cohort who developed a bone lesion at the trauma site at diagnosis of LCH were analyzed retrospectively.

Results: Of the 261 pediatric patients with LCH, 12 (4. Read More

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January 2022

Quantification and Visualization of Anterior Pelvis Bone Density to Optimize Screw Fixation: A Novel Technique.

J Orthop Res 2022 Jun 30. Epub 2022 Jun 30.

University of Washington, Department of Orthopaedics and Sports Medicine, Seattle, WA, United State.

Plate fixation of anterior pelvic ring fractures is often a vital component when surgically treating unstable pelvis fractures. Certain plate and screw configurations can have premature implant loosening, potentially in part due to insufficient pullout strength in lower density bone. This study sought to define densities about the anterior pelvic ring using a novel computer-based technique. Read More

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Focusing on individual morphological fracture characteristics of pelvic ring fractures in elderly patients can support clinical decision making.

BMC Geriatr 2022 Jun 30;22(1):543. Epub 2022 Jun 30.

University Hospital Basel, Department of Orthopaedic and Traumatology Surgery, 4031 Basel, Basel, Switzerland.

Introduction: Pelvic ring fractures in the elderly are often caused by minor trauma. Treatment of these patients is currently based on fracture classification, clinical course, and ability to mobilize. Our aim was to identify morphological fracture characteristics with potential prognostic relevance and evaluate their association with clinical decision making and outcome, as well as their interobserver reliability. Read More

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Acetabular morphological variation in Asian patients with femoral neck fracture: A three-dimensional CT-based study.

Injury 2022 Jun 21. Epub 2022 Jun 21.

Department of Orthopaedic Surgery, Juntendo University School of Medicine, 2-1-1, Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.

Aims: The acetabular morphology varies greatly among individuals, and hypoplasia is more common in Asia than in Europe. Dislocation after bipolar hip arthroplasty (BHA) for femoral neck fracture occurs at a constant rate, and is affected by the acetabular morphology. This study aimed to clarify individual differences in the acetabula of Asian patients with displaced femoral neck fractures. Read More

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Femur geometry and body composition influence femoral neck stresses: A combined fall simulation and beam modelling approach.

J Biomech 2022 Jun 11;141:111192. Epub 2022 Jun 11.

Injury Biomechanics and Aging Laboratory, Department of Kinesiology and Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, Ontario N2L 3G1 Canada; Schlegel-UW Research Institute for Aging, 250 Laurelwood Drive, Waterloo, Ontario N2J 0E2 Canada. Electronic address:

Metrics of femur geometry and body composition have been linked to clinical hip fracture risk. Mechanistic explanations for these relationships have generally focused on femur strength; however, impact loading also modulates fracture risk. We evaluated the potential effects of femur geometry and body composition on femoral neck stresses during lateral impacts. Read More

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Pelvic Avulsion Fractures in Adolescent Athletes: Analyzing the Effect of Delay in Diagnosis.

Authors:
James L Moeller

Clin J Sport Med 2022 Jul 15;32(4):368-374. Epub 2021 Sep 15.

Sports Medicine Division, Department of Orthopedics, Henry Ford Health System, Detroit, Michigan.

Objective: To evaluate whether delay in the diagnosis of pelvic avulsion fractures in young athletes leads to prolonged treatment and prolonged return toward sport activities, whether fractures at certain locations are associated with a greater risk of diagnostic delay, and what reasons may exist for delay in diagnosis.

Design: Retrospective chart review of young patients who presented with pelvic region avulsion fracture to a community-based sports medicine clinic over a 19-year period.

Setting: Private practice, primary care sports medicine clinic. Read More

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Movement posture and injury pattern of pelvis-lumbar spine of seated human impacted by the vertical high loads: a finite element analysis.

Comput Methods Biomech Biomed Engin 2022 Jun 26:1-11. Epub 2022 Jun 26.

State Key Laboratory of Explosion Science and Technology, Beijing Institute of Technology, Beijing, China.

The injury conditions of the sitting position occupant inside the military equipment are highly related to the vertical impact environments. In this study, a detailed three-dimensional finite element (FE) model of pelvis-lumbar spine of seated human with nonlinear material property and strain failure criterion was developed and validated. A series of sinusoidal accelerations with a constant peak speed of 8 m/s and frequencies ranging from 10 Hz to 90 Hz were loaded on the FE model to investigate the injury conditions under different high loading rates. Read More

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Isolated penile corporeal cavernosal injury accompanying pelvic fracture after motor vehicle accident.

Proc (Bayl Univ Med Cent) 2022 22;35(4):565-566. Epub 2022 Mar 22.

Division of Urology, Department of Surgery, Baylor Scott & White Medical Center - Temple, Temple, Texas.

Pelvic fracture is a common cause of traumatic injury of the bladder and posterior urethra; however, isolated corporal injury is rare. We present a case of pelvic fracture associated with proximal injury of the penile corpora cavernosa sparing the urethra and bladder, together with a literature review of erectile dysfunction post-pelvic fracture. Read More

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Sacroiliac Screw Placement with Ease: CT-Guided Pelvic Fracture Osteosynthesis in the Elderly.

Medicina (Kaunas) 2022 Jun 15;58(6). Epub 2022 Jun 15.

Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Marienhaus Klinikum Hetzelstift, 67434 Neustadt an der Weinstraße, Germany.

: The number of geriatric patients presenting with fragility fractures of the pelvis is increasing due to ageing Western societies. There are nonoperative and several operative treatment approaches. Many of which cause prolonged hospitalisation, so patients become bedridden and lose mobility and independence. Read More

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Treatment options in non-unions of the pelvis: A retrospective analysis of a single center experience over 12 years.

Injury 2022 Jun 16. Epub 2022 Jun 16.

Department for Trauma Surgery, BG Trauma Center Murnau, Murnau, Germany.

Background: Non-unions and chronic instability of the pelvis remain rare complications after complex high velocity injuries with vertical and rotational instability of the pelvis. Treatment options are insufficiently supported by data evidence due to the rareness of this condition.

Patients And Methods: we conducted a single center, retrospective study of all non-unions and pelvic instabilities between 1. Read More

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The Relationship Between Falling Distance and Trauma Severity Among Fall Injury Survivors Who Were Transported to a Trauma Center.

Cureus 2022 May 18;14(5):e25099. Epub 2022 May 18.

Department of Orthopedic Surgery, Kitasato University School of Medicine, Sagamihara, JPN.

Introduction Falls from >6 meters have been shown to cause multiple traumas and serious injuries. However, especially among fall survivors who were transported to trauma centers, the relationship between falling distance and trauma severity remains unclear. This study aimed to investigate the relationship between falling distance and trauma severity among fall injury survivors who were transported to a trauma center and clarify the characteristics of trauma among survivors of falls from high places from an orthopedic surgeon's perspective. Read More

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Male urethral stricture disease. Why management guidelines are challenging in low-income countries.

BJU Int 2022 Jun 20. Epub 2022 Jun 20.

Urolink, British Association of Urological Surgeons, UK.

Urethral stricture disease is one of the commonest urological pathologies in adult men in low or low-middle income countries, providing a significant work burden for the small number of specialist surgeons who are able to provide appropriate treatment. The underlying causes of anterior urethral stricture relate to urethral fibrosis from sexually transmitted infection, with posterior urethral disruption secondary to pelvic trauma being an equally common cause of stricture disease in many countries in sub-Saharan Africa. Anterior urethral strictures are often long, and multifocal, and bulbo-prostatic disruptions are usually due to relatively low-velocity pelvic trauma. Read More

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Management of a rare case of isolated U-shaped displaced sacral fracture in a young female high school student.

Trauma Case Rep 2022 Aug 24;40:100664. Epub 2022 May 24.

Department of Neurosurgery, University of Jordan, Amman, Jordan.

Sacral fractures in young healthy patients are usually linked to high-energy trauma. They are often associated with multiple other injuries. Isolated sacral fractures are rare and can be easily missed in the absence of other surrounding pelvic or spinal injuries. Read More

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Impact of continuity of care on risk for major osteoporotic fracture in patients with new onset rheumatoid arthritis.

Sci Rep 2022 Jun 17;12(1):10189. Epub 2022 Jun 17.

Department of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

There is a clear relationship between rheumatoid arthritis (RA) and major osteoporotic fracture (MOF), although there is limited evidence on the effect of continuity of care (COC) on MOF in these patients. We investigated the association between COC and risk of MOF, including fractures of the lumbar spine and pelvis, forearm, and hip, among newly diagnosed RA patients aged ≥ 60 years. A total of 8715 incident RA patients from 2004 to 2010 were included from the Korean National Health Insurance Service-Senior cohort database. Read More

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Generation of hemipelvis surface geometry based on statistical shape modelling and contralateral mirroring.

Biomech Model Mechanobiol 2022 Jun 17. Epub 2022 Jun 17.

Department of Biomedical Engineering, University of Melbourne, Melbourne, VIC, 3010, Australia.

Personalised fracture plates manufactured using 3D printing offer an improved treatment option for unstable pelvic ring fractures that may not be adequately secured using off-the-shelf components. To design fracture plates that secure the bone fragments in their pre-fracture positions, the fractures must be reduced virtually using medical imaging-based reconstructions, a time-consuming process involving segmentation and repositioning of fragments until surface congruency is achieved. This study compared statistical shape models (SSMs) and contralateral mirroring as automated methods to reconstruct the hemipelvis using varying amounts of bone surface geometry. Read More

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Percutaneous posterior transiliac plate versus iliosacral screw fixation for posterior fixation of Tile C-type pelvic fractures: a retrospective comparative study.

BMC Musculoskelet Disord 2022 Jun 16;23(1):581. Epub 2022 Jun 16.

Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.

Background: This study aimed to compare the clinical outcomes and complications between two minimally invasive surgical techniques: percutaneous transiliac plate fixation and iliosacral (IS) screw fixation for the treatment of Tile C-type pelvic bone fractures.

Methods: We retrospectively reviewed the data of 77 consecutive patients with Tile C pelvic ring injuries who underwent either percutaneous transiliac plate fixation or IS screw fixation in a single academic center between November 2007 and January 2018. We recorded patients' demographics, surgery-related data, and postoperative surgical outcomes and compared the incidence of complications and revision surgery rates between the two groups. Read More

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RadBone: bone toxicity following pelvic radiotherapy - a prospective randomised controlled feasibility study evaluating a musculoskeletal health package in women with gynaecological cancers undergoing pelvic radiotherapy.

BMJ Open 2022 Jun 14;12(6):e056600. Epub 2022 Jun 14.

Department of Endocrinology, The Christie Hospital NHS Foundation Trust, Manchester, UK

Introduction: Patients receiving radiotherapy are at risk of developing radiotherapy-related insufficiency fractures, which are associated with increased morbidity and pose a significant burden to patients' quality of life and to the health system. Therefore, effective preventive techniques are urgently required. The RadBone randomised controlled trial (RCT) aims to determine the feasibility and acceptability of a musculoskeletal health package (MHP) intervention in women undergoing pelvic radiotherapy for gynaecological malignancies and to preliminary explore clinical effectiveness of the intervention. Read More

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Percutaneous sacroiliac screw fixation in a pediatric with unstable bilateral superior rami and sacral fracture-dislocation; a case report and review of the literature.

Trauma Case Rep 2022 Aug 24;40:100657. Epub 2022 May 24.

Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Complex pelvic ring injuries in childhood can be difficult to treat, and literature mentions several techniques for fixing SIJ fracture-dislocations. In accordance with the CAse REport (CARE) guidelines, this study describes a five-year-old boy with a complex pelvic ring fracture caused by a car accident: vertically unstable pelvic fracture consists of bilateral superior rami fractures and type I of Denis sacral fracture. Fixation was achieved by inserting a 6. Read More

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Identification of safe channels for screws in the anterior pelvic ring fixation system.

J Orthop Surg Res 2022 Jun 11;17(1):312. Epub 2022 Jun 11.

The Third Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, People's Republic of China.

Background: Minimally invasive surgery for pelvic fracture using anterior ring internal fixator system is increasing gradually, and the way to insert the fixation screws in the fixation system is the key technical points of the method. However, there have been few studies on insertion of fixation screws for the anterior pelvic ring internal fixator system.

Objective: To identify safe channels for fixation screws in the anterior pelvic fixator system and provide the anatomical basis for insertion of fixation screws in clinical operation. Read More

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Study on circumpelvic muscle deformation and dynamic simulation of pelvic fracture reduction.

Comput Methods Biomech Biomed Engin 2022 Jun 10:1-10. Epub 2022 Jun 10.

School of Mechantronic Engineering and Automation, Shanghai University, Shanghai, China.

For the pelvic fracture reduction, generally the fragment of the unaffected side is fixed and the affected side is moved to its correct anatomical position and orientation. During the pelvic fracture reduction, circumpelvic muscles deformation is closely related to the surgical accuracy. In this article, the biomechanical properties of musculoskeletal tissue during pelvic fracture reduction are studied. Read More

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[Complications of limb trauma traditional treatment at the University Hospital Center Le Bon Samaritain in Walia (N'Djamena, Chad)].

Med Trop Sante Int 2022 03 15;2(1). Epub 2022 Feb 15.

CNHU Hubert K. Maga, 01 BP 386 Cotonou, Bénin.

Introduction: Traditional treatment of limb trauma by traditional healers is ubiquitous in Sub-Saharan Africa. These practices are the source of many complications. This study aims to clarify the profile of these complications and to identify the factors favoring the consultation of traditional healers. Read More

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The morphology of the sacral corridor for transiliac transsacral screw in Japanese osteoporotic vertebral fracture patients: Analysis using CT data.

J Orthop 2022 Jul-Aug;32:115-120. Epub 2022 Jun 1.

Department of Orthopaedic Surgery, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.

[Introduction] Fragility fractures of the pelvic ring are increasing in the elderly population. A percutaneous sacroiliac screw is one of the methods used to fix of the posterior pelvic element with less dislocation. It is advantageous for elderly because minimally invasive insertion is possible; although there are few reports studying the Japanese population. Read More

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Subcutaneous anterior pelvic bridge - an innovative technique for fixation of selective acetabular fracture: a case series and literature review.

Int Orthop 2022 Jun 8. Epub 2022 Jun 8.

Department of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, 600, Chiayi, Taiwan.

Introduction: The aim of the study was to introduce an innovative technique involving the use of a subcutaneous anterior pelvic bridge (SAPB) in the treatment of selective acetabular fractures.

Methods: We performed a retrospective study of 21 patients with acetabular fracture who were treated with SAPB between January 2016 and March 2021. The patients' data were retrieved from electronic charts. Read More

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Imaging of Paget's Disease of Bone.

Radiol Clin North Am 2022 Jul;60(4):561-573

Department of Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL 33136, USA.

Paget's disease is a metabolic bone disorder affecting the elderly and characterized by bone resorption followed by compensatory bone formation. Radiography is the imaging modality of choice for the diagnosis whereas bone scintigraphy helps stage the extent of the disease and assess response to treatment. MRI and CT are important imaging methods in the assessment of complications and surgical planning. Read More

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Three-Dimensional Computed Tomography Reconstructions Do Not Improve the Interobserver Reliability of the AO/Orthopaedic Trauma Association and Young and Burgess Pelvic Fracture Classifications.

Indian J Orthop 2022 Jun 24;56(6):1018-1022. Epub 2022 Apr 24.

Department of Orthopaedics, Denver Health Medical Center, University of Colorado School of Medicine, 777 Bannock St, MC 0188, Denver, CO 80204 USA.

Purpose: To evaluate the value of three-dimensional (3D) computed tomography (CT) scans on the interobserver and intraobserver reliability of AO/Orthopaedic Trauma Association (OTA) and Young and Burgess (YB) classifications for pelvic ring injuries.

Methods: Seven reviewers (four fellowship-trained orthopaedic trauma surgeons and three fellows) independently classified 36 pelvic ring injuries using radiographs and axial two-dimensional (2D) CT scan images and then repeated this process 2 months later with the addition of 3D CT images. Interobserver and intraobserver reliability was assessed. Read More

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Comparison of mortality according to hemorrhage control methods performed for hemodynamically unstable patients with traumatic pelvic fractures: A multi-center study.

Asian J Surg 2022 Jun 3. Epub 2022 Jun 3.

Department of Surgery, Yonsei University College of Medicine, 03722, Seoul, Republic of Korea. Electronic address:

Background: /Objective: We aimed to analyze the effects of hemorrhage control methods on the mortality of patients with hemodynamic instability due to pelvic fracture and investigate independent mortality risk factors in these patients.

Methods: Ninety-seven pelvic bone fracture patients with hemodynamic instability who visited the emergency departments of two university hospitals over 5 years were enrolled. These patients were categorized based on 28-day mortality (survival group) and acute hemorrhage mortality (non-survival group). Read More

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A case of hemorrhagic shock due to intercostal artery injury that occurred during initial trauma care with multiple displaced rib fractures and traumatic head injury.

Trauma Case Rep 2022 Aug 25;40:100658. Epub 2022 May 25.

Steel Memorial Hirohata Hospital, Himeji Emergency, Trauma and Critical Care Center, 3-1, Yumesakicho Hirohata-ku, Himeji-shi, Hyogo 671-1122, Japan.

Rib fractures can cause injury to some organs. We herein report a case of hemorrhagic shock due to intercostal artery injury that occurred during initial trauma care (ITC) treated by resuscitative thoracotomy (RT) and transcatheter arterial embolization (TAE) with multiple displaced rib fractures (RFs) and traumatic head injury (THI). A man in his 50s who was injured in a traffic accident was transferred to our institution by helicopter for emergency medical treatment. Read More

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Association between bone mineral density at different anatomical sites and both mortality and fracture risk in patients receiving renal replacement therapy: a longitudinal study.

Clin Kidney J 2022 Jun 31;15(6):1188-1195. Epub 2022 Jan 31.

UCL Department of Nephrology, Royal Free Hospital, University College London, London, UK.

Background: The clinical utility of bone mineral density (BMD) measurement by dual-energy X-ray absorptiometry (DXA) is debated in end-stage kidney disease (ESKD). We assessed the ability of BMD measured at different anatomical sites to predict mortality and fracture risk in patients requiring renal replacement therapy (RRT).

Methods: We reviewed all-cause mortality as well as incident hip and overall fracture risk in RRT patients who had BMD measured at the femoral neck, lumbar spine, arm, head, pelvis and total body as part of their routine follow-up between January 2004 and June 2012 at a single university centre. Read More

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The Importance of Prompt Management of Morel-Lavallée Lesions.

Cureus 2022 May 1;14(5):e24639. Epub 2022 May 1.

Orthopedic Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

The Morel-Lavallée lesion (MLL) is a closed soft-tissue injury that is frequently associated with high-intensity trauma. The thigh, hip, and pelvic regions are the most typically affected regions. It is critical to recognize and treat an MLL as soon as possible because it is often neglected or its identification is delayed because of other distracting injuries in a polytrauma patient. Read More

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Multi-slice spiral computed tomography in diagnosing unstable pelvic fractures in elderly and effect of less invasive stabilization.

World J Clin Cases 2022 May;10(14):4470-4479

Department of Traumatic Orthopedics Sports Medicine, Yan'an Hospital of Traditional Chinese Medicine, Yan'an 716000, Shaanxi Province, China.

Background: Older people are more likely to experience pelvic fractures than younger people. Multi-slice spiral computed tomography (CT) uses three-dimensional (3D) reconstruction technology to generate 3D images that can clearly demonstrate the 3D space of fractures and detect fractures at a higher rate.

Aim: To investigate the clinical value of multi-slice spiral CT 3D reconstruction in the diagnosis of unstable pelvic fractures in the elderly as well as the effect of less invasive stabilization. Read More

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