Pubic Rami Fracture: A Benign Pelvic Injury?

1997 ◽  
Vol 11 (1) ◽  
pp. 7-9 ◽  
Author(s):  
Kenneth J. Koval ◽  
Gina B. Aharonoff ◽  
Michael C. Schwartz ◽  
Scott Alpert ◽  
Gila Cohen ◽  
...  
Keyword(s):  
Pelvic Injury ◽  
Pubic Rami

scholarly journals Major haemorrhage in pubic rami fractures

2015 ◽  
Vol 2015 (mar04 1) ◽  
pp. bcr2014208088-bcr2014208088 ◽  
Author(s):  
C. H. Tang ◽  
F. Shivji ◽  
D. Forward
Keyword(s):  
Major Haemorrhage ◽  
Pubic Rami

scholarly journals Penetrating deep pelvic injury due to “less-lethal” beanbag munitions: a case report and policy implications

2021 ◽  
Vol 6 (1) ◽  
pp. e000754
Author(s):  
Christopher S Schenck ◽  
Soum D Lokeshwar ◽  
Matthew D Riedel ◽  
Kimberly A Davis
Keyword(s):  
Pelvic Abscess ◽  
Policy Implications ◽  
Severe Injury ◽  
Pelvic Injury ◽  
Surgical Removal ◽  
Delayed Presentation ◽  
Permanent Disability ◽  
Irrigation And Debridement ◽  
Excellent Functional Outcome ◽  
Serious Injury

“Less-lethal” munitions are designed to cause incapacitation and are often used by law enforcement officers. Although these munitions are not designed to cause severe injury, recent reports have demonstrated that they can cause severe injury, permanent disability, and death. The long-term consequences of injury due to less-lethal munitions are not well understood. We present a case of osteomyelitis and pelvic abscess secondary to a retained beanbag munition following penetrating injury in the setting of a patient with delayed presentation for care. The patient underwent surgical removal of the retained beanbag munition and irrigation and debridement of the osteomyelitis and pelvic abscess with an excellent functional outcome. We discuss the public health and policy implications of serious injury due to less-lethal munitions.

Mortality in Patients With Pelvic Fractures: Results From the German Pelvic Injury Register

2008 ◽  
Vol 64 (2) ◽  
pp. 449-455 ◽  
Author(s):  
Oliver Hauschild ◽  
Peter C. Strohm ◽  
Ulf Culemann ◽  
Tim Pohlemann ◽  
Norbert P. Suedkamp ◽  
...  
Keyword(s):  
Pelvic Fractures ◽  
Pelvic Injury

Retrograde Pubic Rami Screw

2020 ◽  
pp. 307-316
Author(s):  
Franz Müller ◽  
Bernd Füchtmeier ◽  
Axel Gänsslen ◽  
Jan Lindahl
Keyword(s):  
Pubic Rami

scholarly journals Penile dislocation with inversion: A rare complication of blunt pelvic injury

2018 ◽  
Vol 23 (2) ◽  
pp. 90
Author(s):  
Ravindra Sahadev ◽  
Vinay Jadhav ◽  
NarendraBabu Munianjanappa ◽  
Gowri Shankar
Keyword(s):  
Rare Complication ◽  
Pelvic Injury

scholarly journals Biomechanical Comparison of Three Kinds of Minimally Invasive Internal Fixation in the Treatment of Pelvic Bilateral Anterior Ring Fractures

2020 ◽  
Author(s):  
Yong Zhao ◽  
Yupeng Ma ◽  
Dexin Zou ◽  
Xiujiang Sun ◽  
Gong Cheng ◽  
...  
Keyword(s):  
Element Model ◽  
Pelvic Injury ◽  
Hip Joints ◽  
Posterior Displacement ◽  
System Combination ◽  
Rod System ◽  
Anterior Ring ◽  
Fracture Stability ◽  
Intramedullary Screw ◽  
Anterior Posterior

Abstract [Objective] To compare the mechanical characteristics of percutaneous long plate, percutaneous pubic superioris intramedullary screw and percutaneous pelvic anterior screw-rod system for the treatment of bilateral vertical pubic fractures to provide reference for clinical application. [Methods] A finite element model of pelvic anterior ring injury (bilateral vertical pubic fracture) was produced. The fractures were fixed with percutaneous long plate, percutaneous pubic superioris intramedullary screw, percutaneous pelvic anterior screw-rod system and their combination in 5 types of models. The fracture stability under vertical, bilateral and anterior-posterior load were quantified and compared based on the displacement of the hip joints’ midpoint as quantificational index of fracture stability. [Results] In condition of bilateral and anterior-posterior load, the vertical, bilateral and anterior-posterior displacement of the hip joints’ midpoint of different models were significantly different respectively. In general, the displacement of the 5 pelvic anterior ring fixation models were ranked from maximum to minimum as follows: long plate, pelvic anterior screw-rod system, combination of long plate and pelvic anterior screw-rod system, pubic superioris intramedullary screw and combination of pubic superioris intramedullary screw and pelvic anterior screw-rod system. [Conclusion] For the fixation in bilateral pubic fractures of pelvic injury, the percutaneous pubic superioris intramedullary screw was optimal, percutaneous pelvic anterior screw-rod system was the second choice, and percutaneous long plate ranked the third. The percutaneous pelvic anterior screw-rod system can significantly increase fixation stability of the percutaneous pubic superioris intramedullary screw and the percutaneous long plate.

Radiographic changes of the pelvis in Labrador and Golden Retrievers after juvenile pubic symphysiodesis

2013 ◽  
Vol 26 (03) ◽  
pp. 218-225 ◽  
Author(s):  
S. Boiocchi ◽  
L. Vezzoni ◽  
V. Bronzo ◽  
F. Rossi ◽  
A. Vezzoni
Keyword(s):  
General Practitioners ◽  
Subjective Evaluation ◽  
Objective Assessment ◽  
Small Animal ◽  
Pubic Symphysis ◽  
Radiographic Measurement ◽  
Obturator Foramen ◽  
Pubic Rami ◽  
Significant Difference ◽  
Labrador Retrievers

SummaryObjectives: The hypothesis of this study was that juvenile pubic symphysiodesis (JPS) results in pelvic changes that can be identified radiographically in adult dogs.Methods: The medical records at the Clinica Veterinaria Vezzoni were searched for standard ventro-dorsal views of the pelvis of adult Labrador and Golden Retrievers that had undergone JPS or had not undergone surgery. The objective assessment of radiographs included the analysis of various pelvic measurements. Subjective evaluation of radiographs was undertaken by 18 specialists and 21 general practitioners and was based on five criteria relating to 1) the acetabular fossae, 2) the pubic symphysis, 3) the margin of the cranial pubic area, 4) the pubic rami, and 5) the obturator foramen.Results: The radiographs of 42 Labrador Retrievers and 16 Golden Retrievers were evaluated. The most useful criteria were the radiographic measurement of the shape of the obturator foramen and two different ratios of length to width of the pubic rami; these values were significantly smaller in dogs after JPS. The pelvic canal width was the same in both groups. All objective measurements were repeatable within and between evaluators. The most reliable subjective criterion was number 4, followed by number 5 in Golden Retrievers and by 2 in Labrador Retrievers.Conclusion: Our objective and subjective evaluations were simple and yielded useful and repeatable results. There was no significant difference between general practitioners and specialists with regard to subjective evaluation, which indicates that these evaluation criteria can be used by small animal clinicians after minimal training.

Orthopaedic Management of Bladder Exstrophy

2021 ◽  
Author(s):  
R. Özgür Özer
Keyword(s):  
Abdominal Wall ◽  
Bladder Exstrophy ◽  
Pelvic Osteotomy ◽  
Orthopedic Procedures ◽  
Suture Materials ◽  
Cloacal Exstrophy ◽  
Surgical Interventions ◽  
Pubic Rami ◽  
Multi Stage ◽  
Pubic Diastasis

Bladder exstrophy is an embryologic malformation that affects urogenital and skeletal systems. Non-operative treatment of this rare problem is impossible. Urogenital reconstructions can be facilitated by orthopedic procedures. These reconstructions can be performed in a single stage as a complete repair or multi-stage approaches. The goal of the treatment is closure of the bladder and abdominal wall for the achievement of continence, preservation of renal functions, and cosmetic and functional reconstruction of genital organs. Orthopedic procedures are performed to decrease the tension that complicates the bladder and abdominal wall closure by approximating the pubic rami to achieve a secure closure and a low recurrence rate. Surgical interventions consist of the approximation of the pubic rami with different materials such as suture materials and plaque or the application of different osteotomy types such as posterior iliac, anterior pelvic (pubic), diagonal iliac, horizontal iliac and posterior pelvic resection osteotomies. The age of the patient, the amount of pubic diastasis and history of previous operations that the patient has undergone should be considered during the operation planning. Pubic rami can be approximated without performing pelvic osteotomy in patients who are operated within the first 72 hours after birth. But, osteotomy is required in children older than 2 years of age with severe pubic diastasis, concomitant cloacal exstrophy and unsuccessful operation history. The surgical team should have enough knowledge and experience to perform different osteotomy types in case of need to combine anterior and posterior iliac osteotomies. With these multidisciplinary approaches, much more successful outcomes could be achieved.

scholarly journals What characteristics indicate concomitant posterior pelvic injury in pubic ramus fractures in the elderly?

2020 ◽  
Vol 106 (5) ◽  
pp. 849-853
Author(s):  
Eic Ju Lim ◽  
Jung Jae Kim ◽  
Ji Wan Kim ◽  
Keong-Hwan Kim
Keyword(s):  
The Elderly ◽  
Pelvic Injury ◽  
Pubic Ramus
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