The anterior dislocation of the sacroiliac joint: a report of four cases and review of the literature and treatment algorism

Zhang, Qi; Chen, Wei; Liu, Huaijun; Su, Yanling; Pan, Jinshe; Zhang, Yingze

doi:10.1007/s00402-009-0853-5

Cited by 25 publications

(29 citation statements)

References 18 publications

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“…The following discussion is based on the best way to achieve an anatomical reduction of the dislocation with a solid fixation. Zhang et al [2] have successfully treated four cases of anterior SI joint dislocation using an ilioinguinal incision to obtain a reduction and used a fixation with iliosacral screws, in association with an external fixation for anterior lesions.…”

Section: Discussionmentioning

confidence: 99%

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Anterior dislocation of the sacroiliac joint in children

Blondel

Glard

Launay

et al. 2011

Journal of Pediatric Orthopaedics B

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Pelvic injuries in children and especially sacroiliac anterior dislocation are uncommon lesions. In this study, we present an original technique for the fixation of such lesions by a custom-made frame through a single posterior approach. The case of a 12-year-old girl is reported here and advantages of this technique are described. At final follow-up, healing of the lesion was achieved with favourable clinical and radiological outcomes.

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Section: Discussionmentioning

confidence: 99%

“…In a rare situation, the fracture or dislocation can be opposite with an anterior slipping of the ilium. Only a few cases have been reported in the children's population [2] and no strong therapeutic consensus is available at the moment.…”

Section: Introductionmentioning

confidence: 98%

Anterior dislocation of the sacroiliac joint in children

Blondel

Glard

Launay

et al. 2011

Journal of Pediatric Orthopaedics B

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“…It is, therefore, essential to stabilize and restore the oval-shaped osseo-ligamentous structure of the pelvic ring. Unstable fractures of the pelvic ring are an increasingly frequent outcome of motor vehicle trauma [1, 6]. Sacroiliac disruptions are common among unstable fractures of pelvis.…”

Section: Discussionmentioning

confidence: 99%

“…Displaced and unstable pelvic fractures are commonly associated with disruption of the osteoarticular junction of the sacroiliac joint [1]. Posterior sacroiliac dislocation occurs in most of the instances but there are few reports only for the anterior type of sacroiliac dislocation, wherein the iliac bone fractures and displaces anterior to the sacrum often in combination with fractures of the pubic rami and concomitant symphyseal injuries [2–6]. …”

Section: Introductionmentioning

confidence: 99%

Lumbar plexus injury in an anterior fracture dislocation of sacroiliac joint: a case report and review of literature

Magu¹,

Singla²,

Gogna³

et al. 2013

Strategies in Trauma and Limb Reconstruction

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Displaced unstable pelvic fractures are commonly associated with disruption of the osteoarticular junction of the sacroiliac joint. Posterior sacroiliac dislocation are commonly reported but there are only few reports the anterior type of sacroiliac dislocation where the iliac bone fractures and displaces anterior to sacrum, often in combination with fractures of pubic rami and symphyseal injuries. We present a case of an anterior type of sacroiliac fracture dislocation which was associated with a lumbar plexus injury involving both motor and sensory components. Preoperative neurological assessment was done by MRI scan. The tented nerve roots were explored and decompressed surgically, and sacroiliac fixation was done after reduction in the fracture and joint.

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“…T o the best of our knowledge, only four adult cases of pure anterior sacroiliac dislocation have been reported worldwide, with an additional six pediatric cases reported in recent years [1][2][3][4][5][6][7] . The few reported cases all describe patients with substantial concomitant injuries, resulting in major permanent disability.…”

Section: Review Of the Literaturementioning

confidence: 99%

Anterior Sacroiliac Dislocation

Shillito

Linn

Girard

et al. 2014

JBJS Case Connector

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I njuries to the sacroiliac joints are most commonly caused by high-energy trauma. Orthopaedic traumatologists frequently treat sacroiliac dislocations and fracture-dislocations as part of the spectrum of pelvic ring injuries. Typical sacroiliac joint dislocations are posterior; anterior dislocations are extremely rare. As with posterior dislocations, these are highenergy injuries with concomitant visceral, neurologic, and other osseous injuries. We describe a case of anterior sacroiliac dislocation that was treated with a closed reduction and percutaneous fixation in a trauma patient with multiple injuries.The patient was informed that data concerning the case would be submitted for publication, and she provided consent. Case ReportA twenty-one-year-old unrestrained driver was involved in a head-on collision with a tree at an unknown speed after reportedly attempting to avoid pedestrians in the road. She was initially evaluated in Mexico and was transferred to our level-I trauma center twelve hours after the accident.On admission to the trauma bay, the initial vital signs were blood pressure of 122/70 mm Hg, heart rate of 94 bpm, respiration of 24 bpm, and oxygen saturation of 100% on 2 L per nasal cannula. The initial hemoglobin and hematocrit levels were 10.9 g/dL and 31.6%, respectively. On examination, the patient was alert and oriented with a Glasgow Coma Scale score of 15. The spine was nontender, but she did have tenderness to palpation in the left sacroiliac region with accompanying ecchymosis posteriorly. The pelvis was unstable with lateral and anteroposterior compression.The patient had complete loss of sensation and motor function of the left lower extremity, although she had normal peripheral pulses in all four extremities. Perineal examination revealed no open wounds; however, there was left labial swelling and ecchymosis. A Foley catheter had been placed prior to arrival, and gross blood was identified in the urine. The stool guaiac test was negative, and there was minimally decreased rectal tone. There was a 5-cm laceration over the proximal part of the left tibia, a laceration on the posterior aspect of the right thigh, a 5-cm laceration overlying a fracture of the fifth metatarsal on the left foot, and multiple areas of tenderness and ecchymosis throughout the body.Initial radiographs and computed tomography (CT) scans demonstrated severe pelvic injuries, including a right posterior crescent fracture-dislocation, a left complete anterior sacroiliac joint dislocation, left superior and inferior pubic rami fractures, and L1-L5 transverse process fractures (Figs. 1-A through 1-D). Other orthopaedic injuries included a severely comminuted right tarsometatarsal fracture-dislocation, medial cuneiform and navicular fractures, a left type-2 open tibial plateau fracture, and a left type-2 open fracture-dislocation of the fifth metatarsal.Other than right-sided pulmonary contusions and a nonoperative extraperitoneal bladder rupture, the patient had no other noteworthy nonorthopaedic injuries, including b...

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The anterior dislocation of the sacroiliac joint: a report of four cases and review of the literature and treatment algorism

Cited by 25 publications

References 18 publications

Anterior dislocation of the sacroiliac joint in children

Anterior dislocation of the sacroiliac joint in children

Lumbar plexus injury in an anterior fracture dislocation of sacroiliac joint: a case report and review of literature

Anterior Sacroiliac Dislocation

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