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Article: Occult posterior pelvic ring fractures in elderly patients with osteoporotic pubic rami fractures

TitleOccult posterior pelvic ring fractures in elderly patients with osteoporotic pubic rami fractures
Authors
Issue Date2010
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/
Citation
Journal of Orthopaedic Surgery, 2010, v. 18 n. 2, p. 153-157 How to Cite?
AbstractPURPOSE: To evaluate postoperative walking status of elderly patients with osteoporotic pubic rami fractures with or without posterior pelvic ring fractures. METHODS: 33 women and 4 men aged 66 to 95 (mean, 85) years presented with osteoporotic pubic rami fractures after a fall. 22 (59%) of the patients had additional posterior pelvic ring fractures (9 had lateral compression type-II fractures involving the ilium and 13 had lateral compression type-I fractures involving the sacroalar region). Seven of the 9 patients with lateral compression type-II fractures underwent open reduction and internal fixation using plates and/ or screws. The remaining 30 patients were treated conservatively. RESULTS: Postoperative walking status was similar in elderly patients with osteoporotic pubic rami fractures with or without posterior pelvic ring fractures. CONCLUSION: Posterior pelvic ring fractures are easily missed in elderly patients with pubic rami fractures. Routine computed tomography of the pelvis is useful in making the diagnosis.
Persistent Identifierhttp://hdl.handle.net/10722/135285
ISSN
2015 Impact Factor: 0.542
2015 SCImago Journal Rankings: 0.458

 

DC FieldValueLanguage
dc.contributor.authorLau, TWen_US
dc.contributor.authorLeung, FKLen_US
dc.date.accessioned2011-07-27T01:31:27Z-
dc.date.available2011-07-27T01:31:27Z-
dc.date.issued2010en_US
dc.identifier.citationJournal of Orthopaedic Surgery, 2010, v. 18 n. 2, p. 153-157en_US
dc.identifier.issn1022-5536-
dc.identifier.urihttp://hdl.handle.net/10722/135285-
dc.description.abstractPURPOSE: To evaluate postoperative walking status of elderly patients with osteoporotic pubic rami fractures with or without posterior pelvic ring fractures. METHODS: 33 women and 4 men aged 66 to 95 (mean, 85) years presented with osteoporotic pubic rami fractures after a fall. 22 (59%) of the patients had additional posterior pelvic ring fractures (9 had lateral compression type-II fractures involving the ilium and 13 had lateral compression type-I fractures involving the sacroalar region). Seven of the 9 patients with lateral compression type-II fractures underwent open reduction and internal fixation using plates and/ or screws. The remaining 30 patients were treated conservatively. RESULTS: Postoperative walking status was similar in elderly patients with osteoporotic pubic rami fractures with or without posterior pelvic ring fractures. CONCLUSION: Posterior pelvic ring fractures are easily missed in elderly patients with pubic rami fractures. Routine computed tomography of the pelvis is useful in making the diagnosis.-
dc.languageengen_US
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.josonline.org/-
dc.relation.ispartofJournal of Orthopaedic Surgeryen_US
dc.rightsJournal of Orthopaedic Surgery. Copyright © Hong Kong Academy of Medicine Press.-
dc.subject.meshAccidental Falls-
dc.subject.meshFracture Fixation, Internal - methods-
dc.subject.meshFractures, Bone - etiology - radiography - surgery-
dc.subject.meshOsteoporosis - complications - radiography - surgery-
dc.subject.meshPubic Bone - injuries - radionuclide imaging-
dc.titleOccult posterior pelvic ring fractures in elderly patients with osteoporotic pubic rami fracturesen_US
dc.typeArticleen_US
dc.identifier.emailLeung, FKL: klleunga@hku.hk-
dc.identifier.emailLau, TW: catcherlau@hotmail.com-
dc.identifier.authorityLeung, FKL=rp00297en_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.pmid20808004-
dc.identifier.scopuseid_2-s2.0-79952201549-
dc.identifier.hkuros185972en_US
dc.identifier.volume18en_US
dc.identifier.issue2en_US
dc.identifier.spage153en_US
dc.identifier.epage157en_US

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