SACROILIAC SEPARATION THAT CAN BE DIAGNOSED AFTER PELVIC FIXATION DURING SURGERY: A CASE REPORT AND REVIEW OF LITERATURE
Abstract
Sacroiliac joint separation is a high-energy and serious pelvis injury. It must be diagnosed early and treated quickly. Although sacroiliac joint injuries can often be detected by imaging methods, in some cases the diagnosis cannot be made. We present a rare case of pelvic injury in which the sacroiliac joint was completely normal on X-ray and Computed Tomography and the patient was diagnosed with intraoperative sacroiliac separation, although a pelvic binder was not used. Pelvic injuries, especially ligament injuries, may not be detected both in physical examination and radiographic imaging methods. Therefore, orthopaedic surgeons should be careful and sceptical at every stage of the diagnosis and treatment of pelvic injuries.
References
- 1. Banierink H, Reininga IHF, Heineman E, Wendt KW, Ten Duis K, IJpma FFA. Long-term physical functioning and quality of life after pelvic ring injuries. Arch Orthop Trauma Surg. 2019;139:1225-33.
- 2. Zhang Q, Chen W, Liu H, Su Y, Pan J, Zhang Y. The anterior dislocation of the sacroiliac joint: a report of four cases and review of the literature and treatment algorism. Arch Orthop Trauma Surg. 2009;129:941-7.
- 3. Bouguennec N, Gouin F, Piétu G. Isolated anterior unilateral sacroiliac dislocation without pubic arch disjunction. Orthop Traumatol Surg Res. 2012;98:359-62.
- 4. Shi Q, Wu W, Han J, Dai S, Tan W, Li X. Fracture-dislocation of the sacroiliac joint with severely unstable fractures of the pelvis and femur in a 16-month-old patient: a case report. J Orthop Sci. 2015;20:1127-31.
- 5. Chen HW, Liu GD, Fei J, et al. Treatment of unstable posterior pelvic ring fracture with percutaneous reconstruction plate and percutaneous sacroiliac screws: a comparative study. J Orthop Sci. 2012;17:580-7.
- 6. Herzog C, Ahle H, Mack MG, et al. Traumatic injuries of the pelvis and thoracic and lumbar spine: does thin-slice multidetector-row CT increase diagnostic accuracy? Eur Radiol. 2004;14:1751-60.
- 7. Hilty MP, Behrendt I, Benneker LM, et al. Pelvic radiography in ATLS algorithms: A diminishing role? World J Emerg Surg. 2008 4;3:11.
- 8. Jamme S, Poletti A, Gamulin A, et al. False negative computed tomography scan due to pelvic binder in a patient with pelvic disruption: a case report and review of the literature. J Med Case Rep. 2018 21;12:271.
- 9. Clements J, Jeavons R, White C, McMurtry I. The Concealment of Significant Pelvic Injuries on Computed Tomography Evaluation by Pelvic Compression Devices. J Emerg Med. 2015;49:675-8.
- 10. Tan Z, Huang Z, Li L, et al. [Classification and Treatment of Sacroiliac Joint Dislocation]. Sichuan Da Xue Xue Bao Yi Xue Ban. 2017;48:661-7.
- 11. Sauerland S, Bouillon B, Rixen D, Raum MR, Koy T, Neugebauer EA. The reliability of clinical examination in detecting pelvic fractures in blunt trauma patients: a meta-analysis. Arch Orthop Trauma Surg. 2004;124:123-8.
- 12. Gabbe BJ, Esser M, Bucknill A, et al. The imaging and classification of severe pelvic ring fractures: Experiences from two level 1 trauma centres. Bone Joint J. 2013;95-B:1396-401.
AMELİYAT SIRASINDA PELVİK FİKSASYON SONRASI TANI KONABİLEN SAKROİLİAK SEPERASYON: OLGU SUNUMU VE LİTERATÜR TARAMASI
Abstract
Sakroiliak eklem ayrılması, pelvik yaralanmalarda hayatı tehdit eden ciddi bir durumdur. Erken teşhis edilip uygun şekilde tedavi edilmelidir. Bu yaralanmalar çoğu zaman görüntüleme yöntemleri ile tespit edilebilse de bazı durumlarda teşhis konulamamaktadır. Bu olgu sunumunda, röntgen ve BT'de sakroiliak eklem tamamen normalken ve hastada pelvik hamak kullanılmamışken, ameliyat sırasında sakroiliak ayrılma saptanan nadir görülen bir pelvik yaralanma vakasını sunuyoruz.. Pelvik yaralanmalar, özellikle bağ yaralanmaları hem fizik muayenede, hem direkt radyografide hem de BT'de saptanamayabilir. Bu nedenle ortopedi cerrahları pelvik yaralanmaların tanı ve tedavisinin her aşamasında dikkatli ve şüpheci davranmalıdır.
References
- 1. Banierink H, Reininga IHF, Heineman E, Wendt KW, Ten Duis K, IJpma FFA. Long-term physical functioning and quality of life after pelvic ring injuries. Arch Orthop Trauma Surg. 2019;139:1225-33.
- 2. Zhang Q, Chen W, Liu H, Su Y, Pan J, Zhang Y. The anterior dislocation of the sacroiliac joint: a report of four cases and review of the literature and treatment algorism. Arch Orthop Trauma Surg. 2009;129:941-7.
- 3. Bouguennec N, Gouin F, Piétu G. Isolated anterior unilateral sacroiliac dislocation without pubic arch disjunction. Orthop Traumatol Surg Res. 2012;98:359-62.
- 4. Shi Q, Wu W, Han J, Dai S, Tan W, Li X. Fracture-dislocation of the sacroiliac joint with severely unstable fractures of the pelvis and femur in a 16-month-old patient: a case report. J Orthop Sci. 2015;20:1127-31.
- 5. Chen HW, Liu GD, Fei J, et al. Treatment of unstable posterior pelvic ring fracture with percutaneous reconstruction plate and percutaneous sacroiliac screws: a comparative study. J Orthop Sci. 2012;17:580-7.
- 6. Herzog C, Ahle H, Mack MG, et al. Traumatic injuries of the pelvis and thoracic and lumbar spine: does thin-slice multidetector-row CT increase diagnostic accuracy? Eur Radiol. 2004;14:1751-60.
- 7. Hilty MP, Behrendt I, Benneker LM, et al. Pelvic radiography in ATLS algorithms: A diminishing role? World J Emerg Surg. 2008 4;3:11.
- 8. Jamme S, Poletti A, Gamulin A, et al. False negative computed tomography scan due to pelvic binder in a patient with pelvic disruption: a case report and review of the literature. J Med Case Rep. 2018 21;12:271.
- 9. Clements J, Jeavons R, White C, McMurtry I. The Concealment of Significant Pelvic Injuries on Computed Tomography Evaluation by Pelvic Compression Devices. J Emerg Med. 2015;49:675-8.
- 10. Tan Z, Huang Z, Li L, et al. [Classification and Treatment of Sacroiliac Joint Dislocation]. Sichuan Da Xue Xue Bao Yi Xue Ban. 2017;48:661-7.
- 11. Sauerland S, Bouillon B, Rixen D, Raum MR, Koy T, Neugebauer EA. The reliability of clinical examination in detecting pelvic fractures in blunt trauma patients: a meta-analysis. Arch Orthop Trauma Surg. 2004;124:123-8.
- 12. Gabbe BJ, Esser M, Bucknill A, et al. The imaging and classification of severe pelvic ring fractures: Experiences from two level 1 trauma centres. Bone Joint J. 2013;95-B:1396-401.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Early Pub Date | July 28, 2023 |
| Publication Date | July 28, 2023 |
| Published in Issue | Year 2023 Volume: 4 Issue: 2 |
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