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[High rate of sacral fractures in elderly patients presenting pubic rami fractures]
Abraham Adunsky1, Yerucham Kleinbaum, Rami Levi
1Depts. of Geriatric Medicine, Institute of Imaging, Sheba Medical Center, Tel Hashomer.
Background:
Pubic rami fractures are common in the elderly, resulting from low energy traumatic falls. The recovery of some of these patients may be disproportionately slow.
Objective:
To investigate the characteristics of older patients admitted with pubic rami fractures and possible associated pelvic fractures.
Patients And Methods:
We have prospectively examined nineteen consecutive female patients admitted from the emergency ward with a diagnosis of pubic rami fractures, during a one-year period. Patients underwent bone scans and pelvis computerized tomography.
Results:
Six of these patients had associated sacral fractures as demonstrated by pelvic CT scan. None of these sacral fractures was diagnosed on admission to the emergency ward.
Conclusion:
There is a considerable high rate of association of combined pubic and sacral fractures. Greater awareness of this clinical condition is required.