Paediatric pelvic ring fractures and associated injuries

Leonard, Michael; Ibrahim, Mohammed; McKenna, Paul; Boran, S.; McCormack, Damian

doi:10.1016/j.injury.2010.08.005

Cited by 57 publications

(42 citation statements)

References 17 publications

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“…Average hospitalization time was 3.53±3.52 days (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). The patient who was hospitalized for 17 days had type 4 pelvic injury and additional femur and tibia fractures (patient number 1, Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…During 1970's, Watts stated that 10 pelvic fractures per year could be expected in large children's hospitals [7]. The incidence was 3.5% (39/1129) in Leonard et al 's study group [4]. Bond et al [8] had reported 2.4% incidence in their series.…”

Section: Discussionmentioning

confidence: 99%

“…Pelvic fractures are consequences of trauma and are typically the results of high-energy forces such as motor vehicle collisions, falls from height or crush injuries [3]. Although adult pelvic fractures were well documented previously, there are only few data about the paediatric pelvic fractures [4].…”

Section: Introductionmentioning

confidence: 99%

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Demographic Characteristics of Paediatric Pelvic Fractures: 10-Years' Experience of Single Paediatric Orthopaedics Clinic

Turgut¹,

Kalenderer²,

Günaydın³

et al. 2015

Eurasian J Med

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Objective: To evaluate the demographic characteristics of paediatric pelvic fractures. Materials and Methods:Retrospective analysis of 26 patients who were hospitalized with the diagnosis of paediatric pelvic fracture between 2000 and 2010 was performed. Age, gender, hospitalization time, mechanism of injury, fracture type, associated injuries, haemoglobin level drop in the first 24 hours, management and blood transfusion requirement, injuries time (month) information were gathered from hospital records.Results: There were 16 male and 10 female patients. Average age was 10.5 (2-16). Average hospitalization time was 3.5 days (1-17). Average haemoglobin level drop in the first 24 hours was 1.51 (0.3-3.6) gr/dL. Mechanisms of the injuries were as following; 14 patients were struck by a car, 10 patients fell from height and 2 patients involved in a vehicle traffic accident. According to the classification of Torode and Zeig; there was 1 type 2, 22 type 3 and 3 type 4 injuries. Injuries' occurrence season were; 12 in spring, 7 in summer and 7 in autumn. All of the patients had been managed conservatively. Conclusion:These injuries are rarely seen in children. Their management can be mostly conservative and even with a simple and stable pelvic injury marked bleeding can occur.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Demographic Characteristics of Paediatric Pelvic Fractures: 10-Years' Experience of Single Paediatric Orthopaedics Clinic

Turgut¹,

Kalenderer²,

Günaydın³

et al. 2015

Eurasian J Med

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“…The most common mechanism of injury leading to pelvic fractures is a motor vehicle accident (MVA) and fall from heights. [7,8] The rising incidence of road traffic crashes is the most important public health problem in civil society. The two most common causes of trauma in our study were these two mechanisms, which were around 90%.…”

Section: Discussionmentioning

confidence: 99%

Correlation of Pelvic Fractures and Associated Injuries: The Statistical Analysis of 471 Pelvic Trauma Patients

Saydam

Şahin

Yılmaz

et al. 2018

Ulus Travma Acil Cerrahi Derg

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BACKGROUND:In most respects, the vast majority of pelvic injuries is not of a life-threatening status, but co-presence of other injuries needs to be diagnosed. This study aims to evaluate associated pelvic and extra-pelvic visceral organ injuries of the patients with closed pelvic fractures. METHODS:This retrospective study was conducted with 471 adult patients who had been admitted to our Emergency Service with the diagnosis of pelvic fractures. Type of fractures, accompanying visceral organ injuries, the demographic data, type of operation, mortality rates were recorded and analysed statistically. RESULTS:The rate of operations carried out by the general surgery clinic or other surgical clinics in each type of fracture according to AO classification did not differ (p=0.118). In patients with A2, A3 and B1 types of fractures, the operation rate of general surgery clinic did not show a significant difference. However, most of the patients who had extrapelvic surgery were in the mild severity pelvic trauma, such as AO A2 and A3. A total of 31 patients were ex-patients, 17 of whom had AO-A2 type of fractures. The findings showed that there was a significant difference between abdominal ultrasonography outcome that was normal and non-orthopedic surgery types (p<0.001). There was no significant difference between the types of surgery performed and Abdominal CT outcome, which was normal (p=0.215). CONCLUSION:In the management of patients with pelvic fractures irrespective of its type or grade, the findings suggests that greater attention should be paid to not to overlook the associated injuries. Early blood and imaging tests are encouraged after the patient's hemodynamic status is stabilized.

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“…12 The unfused innominate bone is considerably more flexible due to a higher cartilage content and greater elasticity both at the pubic symphysis and sacroiliac joints. 13,14 The production of fractures requires great force, which presumably leads to a greater burden of concomitant injuries.…”

Section: Introductionmentioning

confidence: 99%

Analysis of pelvic fracture pattern and overall orthopaedic injury burden in children sustaining pelvic fractures based on skeletal maturity

Shaath¹,

Koury²,

Gibson³

et al. 2017

J Child Orthop

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Purpose The purpose of this study was to review pelvic fractures and concomitant orthopaedic injuries in children who have a patent triradiate cartilage (TRO) compared with children whose triradiate cartilage has closed (TRC). We hypothesise that these injuries will differ, leading to correlated alterations in management.Patients and Methods Using a database, we retrospectively reviewed patients aged below 18 years with pelvic fractures presenting to our Level 1 trauma center. Radiographs and CT scans were reviewed to identify orthopaedic injuries and categorise pelvic injuries using the modified Torode classification between the two groups.Results A total of 178 patients met inclusion criteria (60 TRO and 118 TRC). Mean age ± SD for TRO and TRC groups were 8 ± 4 years and 16 ± 2 years, respectively. TRO patients were more likely to present as a pedestrian struck by a vehicle (odds ratio (OR) 6.0; p < 0.001) and less likely to present after a motor vehicle collision (OR 0.2; p < 0.001). TRO patients were more likely to sustain rami fractures (OR 2.1; p = 0.020) and Torode IIIA injuries (OR 3.6; p < 0.001). They were less likely to sustain acetabular fractures (OR 0.5; p = 0.042), sacral fractures (OR 0.4; p = 0.009), hip dislocations (p = 0.002) and Torode IV injuries (OR 0.4; p = 0.004). TRO patients were less likely to be treated operatively for their pelvic (OR 0.3; p = 0.013) and orthopaedic injuries (OR 0.4; p = 0.006). ConclusionWe suggest that patients with open triradiate cartilage are unique. Their pelvic injuries may be treated more conservatively as they have a greater potential for periosteal healing and bone remodelling. Patients with closed triradiate cartilage should be treated similarly to adults, as they share a similar mechanism of injury and need for operative fixation.

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Paediatric pelvic ring fractures and associated injuries

Cited by 57 publications

References 17 publications

Demographic Characteristics of Paediatric Pelvic Fractures: 10-Years' Experience of Single Paediatric Orthopaedics Clinic

Demographic Characteristics of Paediatric Pelvic Fractures: 10-Years' Experience of Single Paediatric Orthopaedics Clinic

Correlation of Pelvic Fractures and Associated Injuries: The Statistical Analysis of 471 Pelvic Trauma Patients

Analysis of pelvic fracture pattern and overall orthopaedic injury burden in children sustaining pelvic fractures based on skeletal maturity

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