880 results match your criteria Sacroiliac Joint Injury


A novel computer navigation method for accurate percutaneous sacroiliac screw implantation: A technical note and literature review.

Medicine (Baltimore) 2019 Feb;98(7):e14548

Department of Orthopedics.

The purpose of this study was to assess the accuracy of percutaneous sacroiliac screw (PSS) placement assisted by screw view model of navigation system for treatment of sacroiliac fractures.Data pertaining to 18 consecutive patients with posterior pelvic ring fracture who received sacroiliac screw fixation between January 2015 and July 2018 at the Second Hospital of Jilin University were retrospectively analyzed. Kirschner wires were placed under the guidance of navigation's screw view mode. Read More

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http://Insights.ovid.com/crossref?an=00005792-201902150-0007
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http://dx.doi.org/10.1097/MD.0000000000014548DOI Listing
February 2019
2 Reads

Robot-assisted Minimally-invasive Internal Fixation of Pelvic Ring Injuries: A Single-center Experience.

Orthop Surg 2019 Feb 3. Epub 2019 Feb 3.

Department of Traumatic Orthopedics, Affiliated Jinan Third Hospital of Jining Medical University, Jinan, China.

Objective: To investigate the indications, surgical strategy and techniques, safety, and efficacy of robot-assisted minimally-invasive internal fixation of pelvic ring injuries.

Methods: The clinical data of 86 patients with anterior and posterior pelvic ring injuries who underwent robot-assisted minimally-invasive internal fixation were retrospectively analyzed. The patients included 57 men and 29 women aged between 22 and 75 years, with an average age of (40. Read More

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http://dx.doi.org/10.1111/os.12423DOI Listing
February 2019
2 Reads

Controlled Pedicle Subtraction Osteotomy Site Closure Using Flexible Hinge-Powered Operating Table.

Oper Neurosurg (Hagerstown) 2019 Jan 23. Epub 2019 Jan 23.

Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota.

Background And Importance: Pedicle subtraction osteotomy (PSO) is a 3-column osteotomy used to correct rigid, large magnitude sagittal spinal deformity. PSO is an inherently destabilizing procedure intraoperatively, with high risk of neurological deficits from vertebral body subluxation or translation during osteotomy closure. Traditionally, PSO closure has been performed utilizing compression or cantilevering forces across adjacent level instrumentation. Read More

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http://dx.doi.org/10.1093/ons/opy397DOI Listing
January 2019
2 Reads

Combined treatment with vacuum sealing drainage, TopClosure device, and Ilizarov technique for traumatic hemipelvectomy: A rare case report of successful repairing of large-size soft tissue defects.

Medicine (Baltimore) 2019 Jan;98(4):e14205

Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Rationale: Traumatic hemipelvectomy is a rare but lethal catastrophic injury.

Patient Concerns: A case of a very young child with open fracture of left sacroiliac joint dislocation and pubic symphysis diastasis, suffered from a severe large-size soft tissue defects.

Diagnosis: Traumatic hemipelvectomy. Read More

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http://dx.doi.org/10.1097/MD.0000000000014205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358379PMC
January 2019
2 Reads

In-silico pelvis and sacroiliac joint motion-A review on published research using numerical analyses.

Clin Biomech (Bristol, Avon) 2019 Jan 6;61:95-104. Epub 2018 Dec 6.

Department of Anatomy, University of Otago, Dunedin, New Zealand; Department of Trauma, Orthopedic and Plastic Surgery, University Hospital of Leipzig, Germany; Orthopaedicus Clinics, Leipzig, Germany.

Background: Computational models of the human pelvis have become highly useful tools to assess mechanisms of injury, diagnostics and treatment options. The purpose of this systematic literature review was to summarize existing pelvic computer models, to assess their comparability and the measures taken for experimental validation.

Methods: Research on virtual simulations of the posterior pelvis and sacroiliac joint available from the ISI Web of Knowledge, PubMed and Scopus databases available until January 2018 were included. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02680033183046
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http://dx.doi.org/10.1016/j.clinbiomech.2018.12.005DOI Listing
January 2019
10 Reads

Occult injuries of the contralateral sacroiliac joint in operatively treated pelvis fractures: incidence, root cause analysis, and proposal of treatment algorithm.

Int Orthop 2018 Dec 11. Epub 2018 Dec 11.

Department of Orthopaedics, Denver Health Medical Center, 777 Bannock Street, Denver, CO, 80204, USA.

Purpose: To determine the most common injury patterns, root cause, and the frequency with which unrecognized contralateral posterior ring injury occurs in patients presenting with surgically treated pelvic fractures.

Methods: The medical records of 73 patients presenting to our level I trauma center (52 male and 21 female patients; mean age 41.8 years; range 18-89 years) with surgically treated pelvic ring fractures between January 1, 2016 and January 1, 2018 were reviewed. Read More

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http://dx.doi.org/10.1007/s00264-018-4268-1DOI Listing
December 2018
1 Read

Application of the Guiding Template Designed by Three-dimensional Printing Data for the Insertion of Sacroiliac Screws: a New Clinical Technique.

Curr Med Sci 2018 Dec 7;38(6):1090-1095. Epub 2018 Dec 7.

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

This study is aimed to explore the clinical application of the guiding template designed by three-dimensional printing data for the insertion of sacroiliac screws. A retrospective study of 7 cases (from July 2016 to December 2016), in which the guiding template printed by the threedimensional printing technique was used for the insertion of sacroiliac screws of patients with posterior ring injuries of pelvis, was performed. Totally, 4 males and 3 females were included in template group, aged from 38 to 65 years old (mean 50. Read More

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http://dx.doi.org/10.1007/s11596-018-1988-9DOI Listing
December 2018
2 Reads

Percutaneous screws CT guided to fix sacroiliac joint in tile C pelvic injury. Outcomes at 5 years of follow-up.

SICOT J 2018 27;4:52. Epub 2016 Nov 27.

Department of Orthopedics and Traumatology, Azienda Ospedaliera "Gaetano Rummo", Benevento, Italy.

Introduction: The treatment of the sacroiliac joint (SIJ) vertical instability is a matter of current discussions and remains controversial. The aim of our study is the evaluation of the surgical management of SIJ vertical instability involving the use of cannulated screws introduced under CT guidance and local anesthesia.

Materials And Methods: In the set time frame of 7 years, 96 poly-trauma patients with Tile's type C fracture of the pelvis with vertical instability of the SIJ were treated. Read More

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http://dx.doi.org/10.1051/sicotj/2018047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6256968PMC
November 2016
3 Reads

The majority of piriformis muscles are innervated by the superior gluteal nerve.

Clin Anat 2019 Mar 21;32(2):282-286. Epub 2018 Dec 21.

Seattle Science Foundation, Seattle, Washington.

The piriformis muscle is clinically implicated in pain disorders, posterior approaches for total hip arthroplasty, and iatrogenic injury to the muscle and the surrounding nerves. The piriformis muscle has been said to receive innervation from L5 to S3 ventral rami with most sources using S1 and S2 ventral rami as the most common innervation this muscle. However, descriptions of the nerve in the literature are vague. Read More

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http://doi.wiley.com/10.1002/ca.23311
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http://dx.doi.org/10.1002/ca.23311DOI Listing
March 2019
12 Reads

Effects of Cutting the Sacrospinous and Sacrotuberous Ligaments.

Clin Anat 2019 Mar 21;32(2):231-237. Epub 2018 Nov 21.

Supméca-Institut Supérieur de Mécanique de Paris, Paris, France.

The sacrospinous (SS) and sacrotuberous (ST) ligaments form a complex at the posterior pelvis, with an assumed role as functional stabilizers. Experimental and clinical research has yielded controversial results regarding their function, both proving and disproving their role as pelvic stabilizers. These findings have implications for strategies for treating pelvic injury and pain syndromes. Read More

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http://dx.doi.org/10.1002/ca.23291DOI Listing
March 2019
3 Reads

False negative computed tomography scan due to pelvic binder in a patient with pelvic disruption: a case report and review of the literature.

J Med Case Rep 2018 Sep 21;12(1):271. Epub 2018 Sep 21.

Division of Internal Medicine, University Hospital of Geneva, 4 rue Gabrielle Perret-Gentil, CH-1211, 14, Geneva, Switzerland.

Background: Pelvic binders are routinely used in the prehospital setting for stabilization of pelvic injuries in patients with trauma. Emergency department trauma management relies on primary and secondary survey assessment and imaging, most often computed tomography, in hemodynamically stable patients. Maintaining the pelvic binder in situ allows stabilization of pelvic injuries during imaging but may hinder the visualization of some pelvic lesions. Read More

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https://jmedicalcasereports.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s13256-018-1808-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149070PMC
September 2018
17 Reads

What's Old Is New Again: The Sacroiliac Joint as a Cause of Lateralizing Low Back Pain.

Tomography 2018 Jun;4(2):72-77

Sydney School of Medicine, University of Notre Dame, Sydney, Australia; and.

It has not been easy to identify mechanical failure of the sacroiliac joint (SIJ) with traditional imaging. The integrated model of function (Lee and Vleeming, 1998) suggests that under normal circumstances, form and force closure combined contribute to sacral nutation and "locking" the SIJ for optimal load transfer. This model is supported by clinical evidence and scintigraphic findings that contribute to successful therapy in 80% of cases. Read More

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http://dx.doi.org/10.18383/j.tom.2018.00011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6127349PMC
June 2018
8 Reads

Postpartum sacral stress fracture associated with mechanical sacroiliac joint disease: A case report.

Medicine (Baltimore) 2018 Aug;97(32):e11735

Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University Hospital, University of Monastir, Tunisia.

Rationale: Stress fractures of the sacrum and mechanical sacroiliac joint disease can occur not only during pregnancy but also postpartum. Mechanical sacroiliac joint disease is common in patients with low back pain but often misdiagnosed by practitioners. The association of the 2 conditions has not been studied yet. Read More

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http://dx.doi.org/10.1097/MD.0000000000011735DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133563PMC
August 2018
16 Reads
5.723 Impact Factor

Sacroiliac joint arthrodesis for chronic sacroiliac joint pain: an anterior approach and clinical outcomes with a minimum 5-year follow-up.

J Neurosurg Spine 2018 Sep 22;29(3):279-285. Epub 2018 Jun 22.

2Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan.

OBJECTIVE The authors evaluated the outcomes of sacroiliac joint (SIJ) arthrodesis via an original anterior approach to the upper anterior surface of the SIJ in patients with a minimum of 5 years' follow-up. METHODS The authors performed anterior SIJ arthrodesis in 45 patients between 2001 and 2015. Of these patients, 27 (11 men and 16 women; mean age at surgery 49 [24-86] years) were followed up for a minimum of 5 years (average 113 months, range 61-157 months). Read More

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http://dx.doi.org/10.3171/2018.1.SPINE17115DOI Listing
September 2018
5 Reads

Biomechanical study of three kinds of internal fixation for the treatment of sacroiliac joint disruption using biomechanical test and finite element analysis.

J Orthop Surg Res 2018 Jun 19;13(1):152. Epub 2018 Jun 19.

Department of Bone Disease, Third Hospital of Hebei Medical University, Shijiazhuang, 050051, Hebei, China.

Background: To compare the stability of sacroiliac joint disruption fixed with three kinds of internal fixation using both biomechanical test and finite element analysis.

Methods: Five embalmed specimens of an adult were used. The symphysis pubis rupture and left sacroiliac joint disruption were created. Read More

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http://dx.doi.org/10.1186/s13018-018-0858-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6006595PMC
June 2018
2 Reads
1.580 Impact Factor

Pannus inflammation in sacroiliitis following immune pathological injury and radiological structural damage: a study of 193 patients with spondyloarthritis.

Arthritis Res Ther 2018 06 8;20(1):120. Epub 2018 Jun 8.

Department of Rheumatology, the first Affiliated Hospital of Shantou University Medical College, No.57 Chang ping Road, Shantou, 515041, Guangdong Province, China.

Background: The pathogenesis of sacroiliitis is unclear; therefore, we aimed to systematically study the immunopathology of sacroiliitis in patients with axial spondyloarthritis (axSpA), and explore the relationship between pannus formation, inflammation, and the structural damage caused by sacroiliitis.

Methods: Fine needle aspiration biopsy of the sacroiliac joint (SIJ) was performed in 193 patients with axSpA. Clinical, laboratory, and imaging data were collected at baseline and during the follow up. Read More

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http://dx.doi.org/10.1186/s13075-018-1594-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994024PMC
June 2018
8 Reads

[Treatment of unstable pelvic fractures by cannulated screw internal fixation with the assistance of three-dimensional printing insertion template].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Feb;32(2):145-151

Department of Orthopedics, the 3rd Hospital of Changsha, Changsha Hunan, 410015, P.R.China.

Objective: To evaluate the effectiveness of unstable pelvic fractures treated by cannulated screw internal fixation with the assistance of three-dimensional (3D) printing insertion template.

Methods: The clinical data of 10 patients who underwent surgical treatment for unstable pelvic fractures by cannulated screw internal fixation with the assistance of 3D printing insertion template between May 2015 and June 2016 were retrospectively analysed. There were 7 males and 3 females with an average age of 37. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201708059
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http://dx.doi.org/10.7507/1002-1892.201708059DOI Listing
February 2018
21 Reads

[Treatment of Day type pelvic crescent fracture by using percutaneous cannulated screw fixation technique].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Feb;32(2):139-144

Department of Orthopaedics, Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou Sichuan, 646000,

Objective: To evaluate the feasibility and effectiveness of percutaneous cannulated screw fixation for the treatment of Day type Ⅱ pelvic crescent fracture.

Methods: The clinical data of 14 patients with Day type Ⅱ pelvic crescent fractures underwent closed reduction and percutaneous cannulated screw fixation between January 2009 and July 2016 were retrospectively analysed. There were 9 males and 5 females, aged 17-65 years (mean, 38 years). Read More

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http://dx.doi.org/10.7507/1002-1892.2201709002DOI Listing
February 2018
3 Reads

Pelvic Ring Fracture Accompanying Traumatic Thrombosis and Posterior Peritoneum Hernia in a 2-Year-Old Child: A Case Report.

Int J Low Extrem Wounds 2018 Jun 26;17(2):130-132. Epub 2018 Mar 26.

1 Shanghai Jiao Tong University, Shanghai, China.

A 2-year-old girl who was badly injured by a forklift, was presented to the emergency department with open and comminuted pelvic fracture, dislocation of right sacroiliac jointand femoral neck fracture on the left side. An urgent debridement was performed. However, postoperatively, the girl had apparent abdominal distension. Read More

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http://journals.sagepub.com/doi/10.1177/1534734618764545
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http://dx.doi.org/10.1177/1534734618764545DOI Listing
June 2018
3 Reads

Sacral Insufficiency Fractures : How to Classify?

J Korean Neurosurg Soc 2018 Mar 28;61(2):258-266. Epub 2018 Feb 28.

Department of Traumatology and Orthopedics, KRH Nordstadt, Hannover, Germany.

Objective: The diagnosis of insufficiency fractures of the sacrum in an elder population increases annually. Fractures show very different morphology. We aimed to classify sacral insufficiency fractures according to the position of cortical break and possible need for intervention. Read More

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http://jkns.or.kr/journal/view.php?doi=10.3340/jkns.2017.018
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http://dx.doi.org/10.3340/jkns.2017.0188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853206PMC
March 2018
13 Reads

Frequency and Anatomic Distribution of Magnetic Resonance Imaging Features in the Sacroiliac Joints of Young Athletes: Exploring "Background Noise" Toward a Data-Driven Definition of Sacroiliitis in Early Spondyloarthritis.

Arthritis Rheumatol 2018 May 23;70(5):736-745. Epub 2018 Mar 23.

North Denmark Regional Hospital, Hjørring, Denmark.

Objective: Low-grade bone marrow edema (BME) has been reported in the sacroiliac (SI) joints of 25% of healthy individuals and patients with nonspecific mechanical back pain, thus challenging the specificity and predictive value of magnetic resonance imaging (MRI) for the discrimination of early spondyloarthritis (SpA). It is unknown whether stress injury in competition sports may trigger BME. This study sought to explore the frequency and anatomic distribution of SI joint MRI lesions in recreational and elite athletes. Read More

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http://dx.doi.org/10.1002/art.40429DOI Listing
May 2018
4 Reads

[Minimally invasive internal fixation of pelvic ring for type C pelvic fracture].

Zhongguo Gu Shang 2017 Jul;30(7):660-663

Department of Orthopaedics, the First Hospital of Neijiang City, Neijiang 641000, Sichuan, China.

Objective: To evaluate the feasibility of minimally invasive internal fixation of pelvic anterior and posterior ring for the treatment of type C pelvic fracture, and to explore its operative techniques and therapeutic efficacy.

Methods: From December 2010 to December 2015, 18 patients with type C pelvic fracture were treated by reconstructive plates fixation through minimally invasive ilioinguinal approach for pelvic anterior ring injuries, and by invasive percutaneous sacroiliac joint screw fixation for pelvic posterior ring injuries. There were 11 males and 7 females ranging from 29 to 68 years old with an average age of 43. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2017.07.016DOI Listing
July 2017
18 Reads

Severe systemic inflammatory response syndrome immediately after spinal surgery in a patient with axial gout.

BMJ Case Rep 2018 Jan 24;2018. Epub 2018 Jan 24.

Division of Rheumatology, Department of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.

We report a 55-year-old man with gouty arthritis who developed a 3-month history of low back pain, gradual lower extremities weakness and urinary incontinence. Lumbar MRI showed an exophytic lesion at L3-L4. Immediately after spinal decompression surgery, he developed fever, disorientation, polyarthritis, acute kidney injury and leucocytosis. Read More

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http://dx.doi.org/10.1136/bcr-2017-222474DOI Listing
January 2018
30 Reads

Anatomical relation between S1 sacroiliac screws' entrance points and superior gluteal artery.

J Orthop Surg Res 2018 Jan 18;13(1):15. Epub 2018 Jan 18.

Orthopaedics Department, Yantai Shan Hospital, 91#, Jiefang Road, Yantai, 264008, Shandong Province, People's Republic of China.

Background: To conduct radiologic anatomical study on the relation between S1 sacroiliac screws' entry points and the route of the pelvic outer superior gluteal artery branches with the aim to provide the anatomical basis and technical reference for the avoidance of damage to the superior gluteal artery during the horizontal sacroiliac screw placement.

Methods: Superior gluteal artery CTA (CT angiography) vascular imaging of 74 healthy adults (37 women and 37 men) was done with 128-slice spiral CT (computed tomography). The CT attendant-measuring software was used to portray the "safe bony entrance area" (hereinafter referred to as "Safe Area") of the S1 segment in the standard lateral pelvic view of three-dimensional reconstruction. Read More

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http://dx.doi.org/10.1186/s13018-018-0713-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774034PMC
January 2018
10 Reads

Single Transsacral Screw and Nut Stabilization of Bilateral Sacroiliac Luxation in 20 Cats.

Vet Comp Orthop Traumatol 2018 Jan 11;31(1):44-52. Epub 2018 Jan 11.

Anderson Moores Vet Specialists, Winchester, Hampshire, United Kingdom of Great Britain and Northern Ireland.

Objective:  This article aims to describe the use of a single transsacral screw and nut in a cohort of cats with bilateral sacroiliac (SI) luxation and document its radiographic and clinical outcome.

Methods:  Medical records and radiographic studies of cats with bilateral SI luxation managed with a transsacral screw and nut stabilization were reviewed. Short-term follow-up included clinical examination and radiographs. Read More

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http://dx.doi.org/10.3415/VCOT-17-03-0047DOI Listing
January 2018
3 Reads

Delayed Bone Infarct in the Ilium Following a Pelvic Crush Injury and Embolization: A Case Report.

JBJS Case Connect 2017 Oct-Dec;7(4):e89

Rothman Institute, Philadelphia, Pennsylvania.

Case: We present a case of delayed osteonecrosis of the ilium. After receiving embolization and multiple orthopaedic procedures following a complex pelvic crush injury, the patient subsequently developed posterior pelvic pain and tenderness over the posterior superior iliac spine, along with pain on sacroiliac joint compression. Magnetic resonance imaging of the pelvis demonstrated a bone infarction in the left ilium adjacent to the sacroiliac joint. Read More

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http://dx.doi.org/10.2106/JBJS.CC.16.00151DOI Listing
December 2017
9 Reads

Percutaneous sacroiliac screw versus anterior plating for sacroiliac joint disruption: A retrospective cohort study.

Int J Surg 2018 Feb 25;50:11-16. Epub 2017 Dec 25.

Third Hospital of Hebei Medical University, Department of Orthopaedic Surgery, Shijiazhuang, Hebei, 050051, China; Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051, China. Electronic address:

Background: Sacroiliac joint disruption (SJD) is a common cause of pelvic ring instability. Clinically, percutaneous unilateral S1 sacroiliac screw and anterior plating are always applied to manage SJD. The objective of this study is to elaborate their respective therapeutic traits. Read More

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http://dx.doi.org/10.1016/j.ijsu.2017.12.017DOI Listing
February 2018
9 Reads

[Forensic Analysis of the Characteristics of Pelvic Fracture in 65 Road Traffic Accident Death Cases].

Authors:
W Zhang

Fa Yi Xue Za Zhi 2016 Dec 25;32(6):428-430. Epub 2016 Dec 25.

Department of Forensic Medicine, National Police University of China, Shenyang 110035, China.

Objectives: To analyze the characteristics and mechanisms of pelvic fractures in the cases of road traffic accident deaths.

Methods: Total 65 cases of road traffic accident deaths with pelvic fracture were collected, and the sites, characteristics and injury mechanisms of pelvic fracture were statistically analyzed.

Results: Among the 65 cases of pelvic fracture, 38 cases of dislocation of sacroiliac joint were found, and most combined with pubis symphysis separation or fracture of pubis. Read More

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http://dx.doi.org/10.3969/j.issn.1004-5619.2016.06.008DOI Listing
December 2016
2 Reads

Minimally invasive lag screw fixation of sacroiliac luxation/fracture using a dedicated novel instrument system: Apparatus and technique description.

Vet Surg 2018 Jan 29;47(1):93-103. Epub 2017 Nov 29.

Bone & Joint Center, ACCESS Specialty Animal Hospitals, Los Angeles, California.

Objective: To describe a novel Sacroiliac Luxation Instrument System (SILIS™) and its application in minimally invasive osteosynthesis (MIO) of sacroiliac luxations/fractures (SIL/F). The SILIS was designed to provide stable SIL/F reduction and accurate sacral screw placement while reducing personnel exposure to ionizing radiation during intraoperative fluoroscopy.

Study Design: Descriptive, proof of concept cadaveric study. Read More

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http://dx.doi.org/10.1111/vsu.12746DOI Listing
January 2018
20 Reads

Sacroiliac joint tuberculosis: surgical management by posterior open-window focal debridement and joint fusion.

BMC Musculoskelet Disord 2017 Nov 29;18(1):504. Epub 2017 Nov 29.

Department of Spine Surgery, Xiangya Hospital Central South University, Changsha, China.

Background: Sacroiliac joint tuberculosis(SJT) is relatively uncommon, but it may cause severe sacroiliac joint destruction and functional disorder. Few studies in the literature have been presented on SJT, reports of surgical treatment for SJT are even fewer. In this study, we retrospectively reviewed surgical management of patients with severe SJT of 3 different types and proposed to reveal the clinical manifestations and features and aim to determine the efficiency and security of such surgical treatment. Read More

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http://dx.doi.org/10.1186/s12891-017-1866-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5708174PMC
November 2017
10 Reads

Symphyseal fixation in open book injuries cannot fully compensate anterior SI joint injury-A biomechanical study in a two-leg alternating load model.

PLoS One 2017 27;12(11):e0184000. Epub 2017 Nov 27.

AO Research Institute Davos, Davos, Switzerland.

Introduction: In open book injuries type Tile B1.1 or B1.2 also classified as APC II (anteroposterior compression), it remains controversial, if a fixation of the anterior ring provides sufficient stability or a fixation of the posterior ring should be included. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0184000PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703512PMC
December 2017
16 Reads

[Classification and Treatment of Sacroiliac Joint Dislocation].

Sichuan Da Xue Xue Bao Yi Xue Ban 2017 Sep;48(5):661-667

Department of Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041,China.

Objective: To develop a renewed classification and treatment regimen for sacroiliac joint dislocation.

Methods: According to the direction of dislocation of sacroiliac joint,combined iliac,sacral fractures,and fracture morphology,sacroiliac joint dislocation was classified into 4 types. Type Ⅰ (sacroiliac anterior dislocation): main fracture fragments of posterior iliac wing dislocated in front of sacroiliac joint. Read More

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September 2017
11 Reads

[Advances in Diagnosis and Treatment of Posterior Distal Injury of Pelvic Fracture].

Sichuan Da Xue Xue Bao Yi Xue Ban 2017 Sep;48(5):655-660

Department of Orthopaedics,West China Hospital,Sichuan University,Chengdu 610041,China.

Pelvic fracture is one of the common diseases of traumatic orthopedics. With the increase of accidents such as traffic accidents,high craters and crush injuries in China,the incidence of pelvic fractures is also increasing year by year. Since pelvic bones and the ligament structure are close to neurovascular,cavity organs and the urogenital structure,early diagnosis and treatment of pelvic fractures is essential for preventing early complications and late sequelae. Read More

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September 2017
5 Reads

Good functional outcome in patients suffering fragility fractures of the pelvis treated with percutaneous screw stabilisation: Assessment of complications and factors influencing failure.

Injury 2017 Dec 4;48(12):2717-2723. Epub 2017 Nov 4.

Department of Orthopaedic and Trauma Surgery, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland.

Background: Low energy pelvic ring fractures in the elderly have traditionally been treated conservatively, a treatment with potential long-term complications and loss of self-independence. Percutaneous screw stabilisation of the posterior pelvic ring is a new treatment modality that enables immediate mobilisation. The aim of this study was to assess the functional outcome after sacroiliac stabilisation in the elderly. Read More

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http://dx.doi.org/10.1016/j.injury.2017.11.002DOI Listing
December 2017
10 Reads

Percutaneous iliosacral screw fixation in unstable pelvic fractures.

Pan Afr Med J 2017 3;27:244. Epub 2017 Aug 3.

Department of Orthopaedics & Traumatology, Military Hospital Moulay Ismail, BP 50000 Meknes, Morocco.

Surgical treatment of unstable pelvic fractures Type C, has a vertical instability that is not controlled by traction and supine; therefore, orthopedic and functional treatments undertaken by default are sources of complications. The closed reduction with percutaneous sacroiliac fixation solves the problem of vertical instability; but at the cost of learning the method. Five patients with unstable pelvic fractures; were treated by percutaneous sacroiliac fixation. Read More

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http://dx.doi.org/10.11604/pamj.2017.27.244.11506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622821PMC
October 2017
4 Reads

Anatomical evidence for the anterior plate fixation of sacroiliac joint.

J Orthop Sci 2018 Jan 25;23(1):132-136. Epub 2017 Sep 25.

Department of Anatomy, Chongqing Medical University, Chongqing, China.

Background: The iatrogenic injuries to the lumbar nerves during the fixation the sacroiliac (SI) joint fractures with anterior plates were often reported. No specific method had been reported to avoid it. This study was done to find a safer way of placing the anterior plates and screws for treating the sacroiliac (SI) joint fracture and/or dislocation. Read More

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http://dx.doi.org/10.1016/j.jos.2017.09.003DOI Listing
January 2018
18 Reads

ASSOCIATED POSTERIOR PELVIC INJURY PATTERNS IN TRANSVERSE-ORIENTED ACETABULAR FRACTURE.

Acta Ortop Bras 2017 Jul-Aug;25(4):151-154

. Kocaeli University School of Medicine, Department of Orthopedics and Traumatology, Umuttepe Kocaeli, Turkey.

Objective: Our study analyzed the incidence of posterior pelvic injury patterns and their influence on the surgical treatment of transverse-oriented acetabular fractures .

Methods: Fifty-one transverse-oriented acetabular fracture cases admitted between 1999 and 2013 were evaluated retrospectively. Comparative studies were performed for groups organized by acetabular fracture type, degree of sacroiliac separation, and postoperative reduction quality . Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
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http://dx.doi.org/10.1590/1413-785220172504158091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5608730PMC
September 2017
8 Reads

The importance of pelvic ring stabilization as a life-saving measure in pre-hospital - A case report commented by autopsy.

J Clin Orthop Trauma 2017 Aug 30;8(Suppl 1):S17-S20. Epub 2017 May 30.

National Institute of Legal Medicine and Forensic Sciences, Portugal.

Hip fractures with unstable pelvic ring have great morbidity and mortality rates. These fractures result from high energy trauma such as falls from heights, road accidents and collapsing structures or other similar mechanisms of action. We report the case of a 63 years old man, construction worker, who stood inside a ditch during a wall construction when he was surprised by this collapse, which resulted in direct trauma to the right thigh and pelvis. Read More

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http://dx.doi.org/10.1016/j.jcot.2017.05.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574859PMC
August 2017
8 Reads

Fibular Strut Graft for Posterior Pelvic Ring Nonunion - a Case Report.

Acta Chir Orthop Traumatol Cech 2017 ;84(3):211-214

Department of Surgery, University Hospital Hradec Králové, Czech Republic.

Posttraumatic pelvic nonunions in combination with malposition are uncommon in the present-day era of modern pelvic surgery. The case describes a new surgical technique for treatment of the nonunion localized to iliosacral joint. A 42-year-old polytraumatized male presented with a pelvic fracture (type 61-C2. Read More

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January 2018
5 Reads

Surgical technique of percutaneous iliosacral screw fixation in S3 level in unstable pelvic fracture with closed degloving injury and morrell lavallee lesion: Two case reports.

Int J Surg Case Rep 2017 8;38:43-49. Epub 2017 Jul 8.

Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo General National Hospital, Jakarta, Indonesia.

Introduction: Percutaneous screw fixation is considered the best option in unstable pelvic fracture with severe soft tissue injury. However, fixation technique at the level of S3 has not been well established. This paper showed the feasible surgical technique of S3 screw insertion in unstable pelvic fracture with severe soft tissue injury. Read More

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http://dx.doi.org/10.1016/j.ijscr.2017.07.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522959PMC
July 2017
4 Reads

Posterior locked lateral compression injury of the pelvis in geriatric patients: an infrequent and specific variant of the fragility fracture of pelvis.

Arch Orthop Trauma Surg 2017 Sep 13;137(9):1207-1218. Epub 2017 Jul 13.

Department of Orthopedic Surgery, College of Medicine, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daeheung-ro 64, Jung-gu, Daejeon, 34943, Republic of Korea.

Introduction: Posterior locked lateral compression injury (PLLCI) of the pelvic ring is an infrequent variant of lateral compression injury, a condition described in only eight reported cases since 2000. Lateral compression injury usually results from high-energy trauma and is characterized by locking between the medially translated fractured ilium and the anterior border of the sacrum, regardless of whether the fractured ilium involves the sacroiliac joint. However, in our experience, lateral compression injury can also result from low-energy trauma as a manifestation of pelvic fragility fracture. Read More

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http://dx.doi.org/10.1007/s00402-017-2752-5DOI Listing
September 2017
6 Reads

Musculoskeletal Approach to Pelvic Pain.

Phys Med Rehabil Clin N Am 2017 08;28(3):517-537

Department of Physical Medicine and Rehabilitation, University of Pennsylvania, 1800 Lombard Street, 1st Floor, Philadelphia, PA 19146, USA.

Visceral and somatic causes of pelvic pain are often inter-related, and a musculoskeletal examination should always be considered for the successful diagnosis and treatment of pelvic pain. For the diverse etiologies of hip pain, there are many unique considerations for the diagnosis and treatment of these various disorders. Pelvic pain is often multidimensional due to the overlap between lumbo-hip-pelvic diagnoses and may require a multidisciplinary approach to evaluation and management. Read More

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http://dx.doi.org/10.1016/j.pmr.2017.03.014DOI Listing
August 2017
4 Reads

Minimally invasive treatment of unstable pelvic ring injuries with modified pedicle screw-rod fixator.

J Int Med Res 2018 Jan 29;46(1):368-380. Epub 2017 Jun 29.

Department of Orthopaedics, Qingpu Branch of Zhongshan Hospital, Fudan University, Shanghai, China.

Objective To evaluate the clinical application of the minimally invasive modified pedicle screw-rod fixator for unstable pelvic ring injuries, including its feasibility, merits, and limitations. Methods Twenty-three patients (13 males, 10 females; average age, 36.3 years) with unstable pelvic ring injuries underwent anterior fixation using a modified pedicle screw-rod fixator with or without posterior fixation using a transiliac internal fixator. Read More

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http://dx.doi.org/10.1177/0300060517715529DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011281PMC
January 2018
5 Reads

Biomechanical study of different fixation techniques for the treatment of sacroiliac joint injuries using finite element analyses and biomechanical tests.

Comput Biol Med 2017 08 7;87:250-257. Epub 2017 Jun 7.

Graduate Institute of Applied Science and Technology, National Taiwan University of Science and Technology, Taipei 106, Taiwan, ROC.

The pelvis is one of the most stressed areas of the human musculoskeletal system due to the transfer of truncal loads to the lower extremities. Sacroiliac joint injury may lead to abnormal joint mechanics and an unstable pelvis. Various fixation techniques have been evaluated and discussed. Read More

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http://dx.doi.org/10.1016/j.compbiomed.2017.06.007DOI Listing
August 2017
8 Reads

Reliability of Radiographic Assessment of Sacroiliac Joints in Patients with Suspected Early Spondyloarthritis: Methodological Issue.

Authors:
Siamak Sabour

J Rheumatol 2017 06;44(6):957

Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, and Department of Clinical Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, I.R. Iran.

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http://dx.doi.org/10.3899/jrheum.170014DOI Listing
June 2017
2 Reads

Crescent fractures of the pelvis treated by open reduction and internal fixation: a critique of Day's guidelines.

Eur J Orthop Surg Traumatol 2017 Dec 23;27(8):1089-1095. Epub 2017 May 23.

Lakeshore Hospital and Research Center, Maradu, Nettoor PO., Cochin, Kerala, 682304, India.

Introduction: Day's classification and treatment guidelines are considered the gold standard in crescent fractures of the pelvis. The objective of this study was to retrospectively evaluate 10 surgically treated crescent fractures of the pelvis in the context of Day's recommendations.

Methods: This is a retrospective cohort study. Read More

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http://dx.doi.org/10.1007/s00590-017-1982-0DOI Listing
December 2017
24 Reads

Complete Circumferential Osseous Extension in the Acetabular Rim Occurs Regardless of Acetabular Coverage.

Clin Orthop Relat Res 2017 Aug 16;475(8):2074-2080. Epub 2017 May 16.

Department of Orthopaedic Surgery, Saitama Medical University, 38 Morohongo, Moroyama-machi, Iruma-gun, Saitama, 350-0495, Japan.

Background: Complete circumferential osseous extension in the acetabular rim has been reported to occur in the deep hip with pincer impingement. However, this phenomenon occasionally is observed in dysplastic hips without pincer impingement, and the degree to which this finding might or might not be associated with hip pain, and how often it occurs bilaterally among patients, are not well characterized.

Questions/purposes: (1) To determine the proportion of patients with complete circumferential osseous extension in the acetabular rim using three-dimensional (3-D) CT in patients with and without hip pain who had CT scans obtained for various reasons. Read More

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http://dx.doi.org/10.1007/s11999-017-5381-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498392PMC
August 2017
26 Reads

Anterior fracture dislocation of the sacroiliac joint: A case report and literature review.

Technol Health Care 2017 Aug;25(4):803-808

Publications describing the diagnosis and treatment of anterior dislocation of the sacroiliac joint are scarce. We report the case a 19-year-old female at 8 weeks' gestation who presented with anterior fracture dislocation of the right sacroiliac joint, posterior fracture dislocation of the left sacroiliac joint (crescent fracture), and incomplete abortion resulting from high energy trauma. Orthopedic surgery involved standard anterior sacroiliac joint plating using an ilioinguinal approach combined with a modified Stoppa approach. Read More

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http://dx.doi.org/10.3233/THC-160735DOI Listing
August 2017
8 Reads

Characteristics and Course of Enthesitis in a Juvenile Idiopathic Arthritis Inception Cohort.

Arthritis Care Res (Hoboken) 2018 02;70(2):303-308

University of Alberta, Edmonton, Alberta, Canada.

Objective: To describe the prevalence, associated characteristics, and course of enthesitis in a juvenile idiopathic arthritis (JIA) inception cohort.

Methods: Canadian children newly diagnosed with JIA between 2005 and 2010 were categorized using International League of Associations for Rheumatology criteria at the 6-month visit and followed in the Research in Arthritis in Canadian Children Emphasizing Outcomes (ReACCh-Out) cohort for up to 5 years. The presence of entheseal tenderness on examination at 33 sites shown on a homunculus was recorded at 0, 6, 12, 18, 24, 36, 48, and 60 months after enrollment. Read More

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http://dx.doi.org/10.1002/acr.23256DOI Listing
February 2018
10 Reads

Sacral Fatigue Fracture in a Military Recruit.

Clin Nucl Med 2017 Jun;42(6):e319-e321

From the *Department of Radiology, Naval Medical Center San Diego, San Diego, CA.

A 19-year-old male military recruit presented with 3 weeks of persistent left hip and groin pain after abnormally twisting his hip during a hike. Initial radiographs were interpreted as negative. He subsequently underwent a bone scan which revealed linear left sacral uptake along or paralleling the sacroiliac joint. Read More

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http://dx.doi.org/10.1097/RLU.0000000000001666DOI Listing
June 2017
5 Reads