Pelvic Fractures:Low Impact: Difference between revisions
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* Low-energy fractures of the elderly population sustained from a ground level fall frequently result in pelvic fractures that do not damage the true integrity of the ring structure and are often treated non-operatively. These fractures include superior and inferior pubic rami fractures as well as non-displaced sacral alar fractures<ref name=":0" />. | * Low-energy fractures of the elderly population sustained from a ground level fall frequently result in pelvic fractures that do not damage the true integrity of the ring structure and are often treated non-operatively. These fractures include superior and inferior pubic rami fractures as well as non-displaced sacral alar fractures<ref name=":0" />. | ||
* In some patients, an insidious progress of bone damage leads to increasing displacement, nonunion and persisting instability. New concepts for surgical treatment have to be developed to address the functional needs of the elderly patients.<ref>Rommens PM, Hofmann A. [https://pubmed.ncbi.nlm.nih.gov/23871193/ Comprehensive classification of fragility fractures of the pelvic ring: recommendations for surgical treatment]. Injury. 2013 Dec 1;44(12):1733-44.Available from:https://pubmed.ncbi.nlm.nih.gov/23871193/ (last accessed 11.10.2020)</ref> | * In some patients, an insidious progress of bone damage leads to increasing displacement, nonunion and persisting instability. New concepts for surgical treatment have to be developed to address the functional needs of the elderly patients.<ref>Rommens PM, Hofmann A. [https://pubmed.ncbi.nlm.nih.gov/23871193/ Comprehensive classification of fragility fractures of the pelvic ring: recommendations for surgical treatment]. Injury. 2013 Dec 1;44(12):1733-44.Available from:https://pubmed.ncbi.nlm.nih.gov/23871193/ (last accessed 11.10.2020)</ref> | ||
== Etiology == | |||
Low impact injuries are seen more frequently in adolescents and the elderly | |||
* In adolescents, typically as a result of athletic injuries (e.g. avulsion fractures of superior or inferior iliac spines or apophyseal avulsion fracture of the iliac wing or ischial tuberosity) | |||
* In the elderly as a result of falls while ambulating (e.g. stable fractures of the pelvic ring or insufficiency fractures of sacrum and anterior pelvic ring)<ref>Davis DD, Foris LA, Kane SM, Waseem M. [https://www.ncbi.nlm.nih.gov/books/NBK430734/ Pelvic Fracture.] StatPearls [Internet]. 2020 Jan.Available from:https://www.ncbi.nlm.nih.gov/books/NBK430734/ (last accessed 11.10.2020)</ref> | |||
== Expected Outcomes/Mortality Rates == | == Expected Outcomes/Mortality Rates == | ||
Revision as of 07:22, 11 October 2020
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (11/10/2020)
Original Editor - Lucinda hampton
Top Contributors - Lucinda hampton, Mahbubur Rahman and Kim Jackson
Introduction[edit | edit source]
Due to the increasing life expectancy we are seeing more fragility fractures of the pelvis (FFPs). Studies have shown a significant increase in low-energy pelvic ring injuries in ages 60 and older[1]. These kinds of fractures are the result of a low-energy impact or they may even occur spontaneously in patients with severe osteoporosis.
- Due to some distinct differences, the established classifications for pelvic ring lesions in younger adults do not fully reflect the clinical and morphological criteria of FFPs. Most FFPs are minimally displaced and do not require surgical therapy.
- Low-energy fractures of the elderly population sustained from a ground level fall frequently result in pelvic fractures that do not damage the true integrity of the ring structure and are often treated non-operatively. These fractures include superior and inferior pubic rami fractures as well as non-displaced sacral alar fractures[1].
- In some patients, an insidious progress of bone damage leads to increasing displacement, nonunion and persisting instability. New concepts for surgical treatment have to be developed to address the functional needs of the elderly patients.[2]
Etiology[edit | edit source]
Low impact injuries are seen more frequently in adolescents and the elderly
- In adolescents, typically as a result of athletic injuries (e.g. avulsion fractures of superior or inferior iliac spines or apophyseal avulsion fracture of the iliac wing or ischial tuberosity)
- In the elderly as a result of falls while ambulating (e.g. stable fractures of the pelvic ring or insufficiency fractures of sacrum and anterior pelvic ring)[3]
Expected Outcomes/Mortality Rates[edit | edit source]
- Low-energy pelvic injuries do not appear to increase rate of mortality (compared to the US population).
- Fracture pattern, race, sex, discharge disposition and length of stay do not seem to have an effect on mortality.
- Elderly patients with an average age of 84.5 years and more than two comorbidities had higher rates of mortality; however, these patients were likely to sustain earlier mortality regardless of low-energy pelvic fracture[1].
Sub Heading 3[edit | edit source]
Resources[edit | edit source]
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References[edit | edit source]
- ↑ 1.0 1.1 1.2 Ghassibi M, Boyalakuntla DS, Gentile J. Low-Energy Pelvic Ring Fractures in the Elderly Population: Expected Outcomes and Associated Mortality Rates. Journal of Clinical Medicine Research. 2019 Nov;11(11):725.Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6879025/(last accessed 11.10.2020)
- ↑ Rommens PM, Hofmann A. Comprehensive classification of fragility fractures of the pelvic ring: recommendations for surgical treatment. Injury. 2013 Dec 1;44(12):1733-44.Available from:https://pubmed.ncbi.nlm.nih.gov/23871193/ (last accessed 11.10.2020)
- ↑ Davis DD, Foris LA, Kane SM, Waseem M. Pelvic Fracture. StatPearls [Internet]. 2020 Jan.Available from:https://www.ncbi.nlm.nih.gov/books/NBK430734/ (last accessed 11.10.2020)
