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Bilateral sacroilac dislocations in an adolescent. A case report
Clinical Orthopaedics and Related Research
|September 1, 1979
Summary
This case report details a rare severe trauma injury in a 15-year-old female: bilateral sacroiliac dislocations. Successful treatment involved skeletal traction, manual reduction, and a pelvic sling, restoring hip mobility.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Pelvic Injuries
Background:
- Bilateral sacroiliac dislocations are uncommon injuries typically resulting from severe trauma.
- This case focuses on a 15-year-old female patient with this specific injury pattern.
Observation:
- The patient presented with bilateral closed sacroiliac dislocations.
- Initial treatment involved bilateral skeletal traction and manual closed reduction.
Findings:
- Partial redislocation occurred despite continued traction.
- A combination of traction and a pelvic sling successfully achieved and maintained reduction.
- The patient regained full range of motion in her hips post-treatment.
Implications:
- This case highlights an effective multimodal treatment approach for severe pelvic trauma.
- Successful management of bilateral sacroiliac dislocations can restore full functional recovery.
- Understanding treatment nuances is crucial for managing these rare, high-energy injuries.