Related Experiment Video
Updated: Mar 17, 2026
05:16
Maintenance of a Lateral Fluid Percussion Injury Device
Published on: April 21, 2023
1.5K
Pediatric pelvic ring injuries: How benign are they?
Christiane G Kruppa1, Justin D Khoriaty2, Debra L Sietsema3
1Grand Rapids Medical Education Partners, Grand Rapids, MI, USA; Department of General and Trauma Surgery, BG-University Hospital Bergmannsheil, Ruhr-University Bochum, Germany.
Injury
|July 25, 2016
Summary
Pediatric pelvic ring injuries often result in lasting deformity, especially with complex, unstable fractures. Operative treatment for these injuries is linked to increased residual deformity and pain.
Area of Science:
- Orthopedic Surgery
- Pediatric Traumatology
- Radiographic Imaging
Background:
- Pediatric pelvic ring injuries are rare, occurring in less than 0.2% of pediatric fractures.
- Historically treated conservatively, a shift towards operative management is observed due to malunion and long-term morbidity risks.
- This study evaluates outcomes of complex pediatric pelvic ring injuries.
Purpose of the Study:
- To determine clinical and radiographic outcomes in children with pelvic ring injuries.
- To compare outcomes between operatively treated unstable injuries and non-operatively treated stable injuries.
- To identify factors associated with residual deformity and pain.
Main Methods:
- Level IV retrospective analysis of 33 pediatric patients (mean age 12.6 years) with pelvic ring injuries.
- Injuries classified using OTA/AO system (2 A2, 3 B1, 16 B2, 10 B3, 2 C2).
- Group 1: 16 unstable, operatively treated; Group 2: 17 stable, non-operatively treated. Evaluated radiographic deformity, leg length discrepancy, low back, and SI joint pain.
Main Results:
- Operatively treated unstable injuries (Group 1) showed higher rates of permanent ischial height difference (>5mm) and pelvic asymmetry compared to non-operatively treated (Group 2).
- Posterior sacral displacement of 5-10mm correlated with significantly more pain.
- 39% of patients experienced residual low back/SI joint pain, with higher rates in Group 1.
Conclusions:
- Radiographic deformity in pediatric pelvic ring injuries persists and does not remodel.
- Complex, unstable pelvic ring injuries are associated with more deformity and pain.
- Operative intervention for complex displaced injuries may lead to higher rates of residual deformity and pain.
Related Concept Videos
01:26Flail Chest-II
831
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
831
01:27Fractures: Bone Repair
6.4K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
6.4K
01:22Esophageal Perforation-I: Introduction
723
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
723
01:28Esophageal Perforation-II: Clinical Manifestations and Management
896
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
896