March Fracture of the Inferior Pubic Ramus: A Report of Three Cases

Radiology ◽  
1943 ◽  
Vol 41 (6) ◽  
pp. 586-588 ◽  
Author(s):  
Dean B. Jones
Keyword(s):  
Pubic Ramus

scholarly journals 3D PRINTING PREOPERATIVE PLANNING AND CUSTOMIZED SURGICAL GUIDES ASSOCIATED WITH O-ARM NAVIGATION SYSTEM FOR MULTIPLANAR OSTEOTOMY OF COMPLEX PELVIC DEFORMITY

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
M Fernández Álvarez ◽  
C Garcés Zarzalejo ◽  
M Adeba García ◽  
P Pernia Gomez ◽  
J A. Martínez Agüeros ◽  
...  
Keyword(s):  
3D Printing ◽  
Navigation System ◽  
Pelvic Ring ◽  
Posterior Column ◽  
Pubic Ramus ◽  
Printing Technology ◽  
3D Printing Technology ◽  
Ring Model ◽  
Surgical Guides ◽  
Hip Rotation

Abstract INTRODUCTION 3D printing technology is penetrating the healthcare field at an astonishing rate. The reduction of its costs, makes it more accessible to everyone. MATERIAL AND METHODS 35-year-old woman who had functional limitation in her right hip due to pelvic ring fracture in her childhood. She had dysmetria of lower limbs and femoral anteversion of 40 degrees. Imaging tests showed vicious consolidation of the right hemipelvis associated with antero-medial displacement. RESULTS Preoperative, we performed her 3D printing pelvic ring model. Osteotomies were digital planned (iliac crest, superior pubic ramus, incomplete of inferior pubic ramus, and semicircular of posterior column) and also how many degrees we would need for rotation the osteotomized fragment. Posterior column osteotomy was the most difficult, so we designed 3D surgical printing cutting guide able to being inserted into the iliac fossa. We used it to introduced four Kirschnner wires that leads us as a guide to avoid the greater sciatic notch. O-arm navigation system helped us make sure to achieve more precision. 3D printing pelvic ring model was sterilized to pre-contouring osteosynthesis plates. After two years of follow-up, good functional results were observed, without gait claudication either limb dysmetria. Her range of motion is 105 degrees of hip flexion, 20 degrees of internal hip rotation and 40 degrees of external hip rotation. Complete radiological consolidation was observed. CONCLUSION Digital planning and 3D printing technology allows to improve three-dimensional compression of bone pathology leading to a higher likelihood of a predictable ideal outcome compared to conventional techniques.

Stress Fractures And The Reproductive System In The Female Athlete

2018 ◽  
Author(s):  
Irfan M Asif ◽  
Kimberly Harmon ◽  
Mallory Shasteen
Keyword(s):  
Femoral Neck ◽  
Disordered Eating ◽  
Reproductive System ◽  
Female Athlete ◽  
Female Athletes ◽  
Stress Fractures ◽  
Female Athlete Triad ◽  
Low Back ◽  
Mineral Density ◽  
Pubic Ramus

Stress fractures are more common in the female athlete. Stress fractures of the pubic ramus and femoral neck are particularly more common in females than in males. Rib stress fractures are an important injury to consider in the female rower, whereas spondylolysis is a common cause of low back pain in female athletes who hyperextend their spines. The higher incidence of stress fractures in females is mainly due to the higher prevalence of disordered eating and subsequent energy imbalance, which leads to detrimental effects on bone. This review discusses stress fractures and unique issues related to exercise and the female reproductive system. This review contains 6 figures, 5 tables and 49 references Key words: amenorrhea, bone mineral density, disordered eating, female athlete triad, femoral neck, pregnancy, pubic ramus, rib, spondylolysis, stress fracture

scholarly journals Minimally invasive treatment for pubic ramus fractures combined with a sacroiliac joint complex injury

2013 ◽  
Vol 37 (8) ◽  
pp. 1547-1554 ◽  
Author(s):  
Xiaowei Yu ◽  
Mingjie Tang ◽  
Zubin Zhou ◽  
Xiaochun Peng ◽  
Tianyi Wu ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Sacroiliac Joint ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Pubic Ramus ◽  
Complex Injury

Hemodynamic Instability Following an Avulsion of the Corona Mortis Artery Secondary to a Benign Pubic Ramus Fracture

2007 ◽  
Vol 62 (6) ◽  
pp. E14-E17 ◽  
Author(s):  
Paul Henning ◽  
Barry Brenner ◽  
Kathrin Brunner ◽  
Heinz Zimmermann
Keyword(s):  
Hemodynamic Instability ◽  
Pubic Ramus ◽  
Corona Mortis

Stress Fractures And The Reproductive System In The Female Athlete

2018 ◽  
Author(s):  
Irfan M Asif ◽  
Kimberly Harmon ◽  
Mallory Shasteen
Keyword(s):  
Femoral Neck ◽  
Disordered Eating ◽  
Reproductive System ◽  
Female Athlete ◽  
Female Athletes ◽  
Stress Fractures ◽  
Female Athlete Triad ◽  
Low Back ◽  
Mineral Density ◽  
Pubic Ramus

Stress fractures are more common in the female athlete. Stress fractures of the pubic ramus and femoral neck are particularly more common in females than in males. Rib stress fractures are an important injury to consider in the female rower, whereas spondylolysis is a common cause of low back pain in female athletes who hyperextend their spines. The higher incidence of stress fractures in females is mainly due to the higher prevalence of disordered eating and subsequent energy imbalance, which leads to detrimental effects on bone. This review discusses stress fractures and unique issues related to exercise and the female reproductive system. This review contains 6 figures, 5 tables and 49 references Key words: amenorrhea, bone mineral density, disordered eating, female athlete triad, femoral neck, pregnancy, pubic ramus, rib, spondylolysis, stress fracture

Musculoskeletal Problems in the Female Athlete

2013 ◽  
Author(s):  
Irfan M Asif ◽  
Emily Edwards ◽  
Kimberly Harmon
Keyword(s):  
Female Athlete ◽  
Female Athletes ◽  
Cruciate Ligament ◽  
Adhesive Capsulitis ◽  
Stress Fractures ◽  
Pubic Ramus ◽  
Male Athletes ◽  
Acl Injuries ◽  
Musculoskeletal Problems ◽  
Anterior Cruciate

Musculoskeletal injuries in the female athlete are, for the most part, similar to those in the male athlete. However, there are differences in the incidence of these injuries and in the sports in which they tend to occur. Stress fractures are more common in the female athlete because of the higher prevalence of disordered eating and subsequent energy imbalance that leads to detrimental effects on bone. In addition, female athletes have a higher rate of noncontact anterior cruciate ligament (ACL) injuries than male athletes. Other musculoskeletal problems are also more common in females, such as multidirectional instability of the shoulder, adhesive capsulitis, and patellofemoral pain. Finally, as a function of greater participation by females in certain sports, such as dance and gymnastics, injuries specific to those sports are more common in females. This chapter addresses injuries that are seen commonly in the female athlete and reviews unique issues related to exercise and the female reproductive system. Figures depict the management of stress fractures, a stress fracture of the inferior pubic ramus, the tension aspect of the femoral neck, stress fractures of the rib, multidirectional shoulder instability, adhesive capsulitis, spondylolysis, proper squat landing technique, and the female athlete triad. A table outlines the recommended intake of both calcium and vitamin D for bone health at various ages.This chapter contains 9 figures, 1 table, 59 references, and 5 Board-styled MCQs.

Obturator Artery Injury Resulting in Massive Hemorrhage From a Low-Energy Pubic Ramus Fracture

Orthopedics ◽  
2017 ◽  
Vol 40 (3) ◽  
pp. e546-e548 ◽  
Author(s):  
Mark K. Solarz ◽  
Justin M. Kistler ◽  
Saqib Rehman
Keyword(s):  
Massive Hemorrhage ◽  
Low Energy ◽  
Pubic Ramus ◽  
Obturator Artery ◽  
Artery Injury

Treatment of Locked Pubic Symphysis by Distraction Osteotomy of the Superior Pubic Ramus

2020 ◽  
Vol 10 (2) ◽  
pp. e0196-e0196
Author(s):  
Narendran Pushpasekaran ◽  
Sujith Thampy ◽  
Veliyaveettil Muhamed Khaleel ◽  
Sachin Joseph
Keyword(s):  
Pubic Symphysis ◽  
Pubic Ramus ◽  
Superior Pubic Ramus

Integrity of the pectineal ligament in MRI correlates with radiographic superior pubic ramus fracture displacement

2020 ◽  
pp. 028418512091300
Author(s):  
Alexis Klengel ◽  
Hanno Steinke ◽  
Philipp Pieroh ◽  
Andreas Höch ◽  
Timm Denecke ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Pelvic Ring ◽  
Compression Fracture ◽  
Strong Positive Correlation ◽  
Lateral Compression ◽  
Pubic Ramus ◽  
Radiographic Appearance ◽  
Fracture Displacement ◽  
Superior Pubic Ramus ◽  
Magnetic Resonance Imaging Mri

Background Estimating the stability of pelvic lateral compression fractures solely by static radiographs can be difficult. In this context, the role of anterior pelvic soft tissues as potential secondary stabilizer of the pelvic ring has hardly been investigated. Purpose To correlate the initial radiographic appearance of the pubic ramus fracture with the integrity of the pectineal ligament, a strong ligament along the pecten pubis. Material and Methods In total, 31 patients with a pelvic lateral compression fracture (AO/OTA 61- B1.1/B2.1) with 33 superior pubic ramus fractures and available post-traumatic radiographs (pelvis anteroposterior, inlet, outlet) and magnetic resonance imaging (MRI) of the pelvis with fat-suppressed coronal images were reviewed retrospectively. Radiographic superior pubic ramus fracture displacement was measured and correlated to the degree of MR-morphologic alterations of the pectineal ligament (grade 0 = intact, grade 3 = rupture). Results In the majority of fractures (72.7%), associated MR-morphologic alterations of the pectineal ligament were present. Radiographic displacement and MRI grading showed a strong positive correlation (Spearman rho = 0.783, P < 0.001). The sensitivity and specificity for a radiographic displacement of >3 mm on plain radiographs to detect a structural ligament lesion on MRI (grade 2 and higher) were 73% and 100%, respectively. Conclusion Radiographic displacement of superior pubic ramus fractures >3 mm is a strong indicator for a structural lesion of the pectineal ligament. Future studies should investigate the potential biomechanical importance of this ligament for pelvic ring stability.

Surgical management of chronic pelvic instability following periacetabular osteotomy nonunion

2020 ◽  
Vol 30 (6) ◽  
pp. 787-792
Author(s):  
Alexander D Shearman ◽  
Aresh Hashemi-Nejad ◽  
Marcus JK Bankes ◽  
Angus D Lewis
Keyword(s):  
Stress Fracture ◽  
Soft Tissues ◽  
Periacetabular Osteotomy ◽  
Case Series ◽  
Stress Fractures ◽  
Pubic Ramus ◽  
Ilioinguinal Approach ◽  
Superior Pubic Ramus ◽  
Stoppa Approach ◽  
Pelvic Instability

Introduction: Periacetabular osteotomy (PAO) is an established treatment for symptomatic acetabular dysplasia in skeletally mature individuals without arthritis. Pelvic nonunion and associated stress fractures are under-reported. Nonunited stress fractures can cause continued buttock pain and pelvic instability. The aim of this study is to report on our experience managing patients with ongoing pain following nonunion of PAO. Patients and methods: 8 patients presented to a tertiary referral pelvic service with symptomatic PAO nonunion between 2015-2018. All patients underwent open reduction internal fixation of the superior pubic ramus nonunion, with ipsilateral iliac autograft, at an average of 48.1 (15–82) months following initial osteotomy. Demographic and perioperative data were recorded. Follow-up was on average to 9.9 months, once union was confirmed radiographically. Results: All patients were female and average age was 31.8 (18–41) years. In 7/8 (87.5%) patients a modified Stoppa approach was successfully utilised. 1 patient required an ilioinguinal approach due to the amount of rotational correction. All patients went on to union at the superior pubic ramus and reported improvement in mechanical symptoms. 5/8 (62.5%) patients were noted to develop union of the posterior column or inferior pubic ramus stress fracture indirectly. 2/8 (25%) patients developed progression of intra-articular pain, despite restoration of pelvic stability. 1 patient required intraoperative transfusion due to femoral vein injury. There were no other complications seen in this series. Conclusions: To our knowledge, this is the largest case series of surgically managed PAO nonunion. Pelvic instability resulting from nonunion and stress fracture can be satisfactorily addressed by mobilising, grafting and plating the nonunion at the superior pubic ramus. The modified Stoppa approach is suitable in most cases, allowing excellent exposure whilst minimising the insult to soft tissues. The altered anatomy of the pelvis following PAO should be anticipated to reduce the risk to nearby neurovascular structures.

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