Syndrome of the sacroiliac joint in fractures of the anterior semi-ring of the pelvis

Abstract

The aim of the work is to improve the diagnosis of injuries in the area of ​​the sacroiliac joint against the background of fractures of the anterior pelvic semicircle and to improve the methods of their treatment. A group of 137 patients with fractures of the anterior semi-ring of the pelvis without signs of gross pathology in the region of the sacroiliac joint on radiographs was studied. Clarification of the diagnosis was carried out on the basis of an assessment of radiographs based on bone landmarks, analysis of clinical manifestations, and scintigraphy data. Revealed changes in the sacroiliac joint in the form of a functional block or damage to the ligamentous apparatus. The functional block was removed by manual release. Fractures were treated according to the usual method, taking into account changes in the sacroiliac joint. Good results were obtained in 83.2%, satisfactory - in 16.8% of cases

Keywords

pelvic bone fracture / ileosacral shift / pathology / bulletin of traumatology

References

[1] Гарлицкий М. Травматология: Пер. с польск.— Варшава, 1973,— С. 379—380.

[2] Минько Б. М. Функциональное лечение переломов переднего полукольца таза: Автореф. дис. ... канд. мед. наук.— М., 1990.

[3] Норец И. П. II Актуальные вопросы мануальной терапии.— М., 1989.— С. 38—39.

[4] Ревенко Т. А., Драчук Г. П., Пастернак В. Н. ..// Ортопед, травматол.— 1982.— № 7.— С. 44—45.

[5] Черкес-Заде Д. И. Лечение застарелых повреждений таза.— Алма-Ата, 1986.

[6] Connolly J. F. Ц Clin. Orthop.— 1989.— Vol. 240,— P. 115—128.

[7] Edeiken-Monroe B. S., Browner B. D., Jackson H. // Clin. Orthop.— 1989,— Vol. 240.— P. 63—76.

[8] Kramer J. 11 Hippokrates.— 1973.— Bd. 58,— S. 1118735.

[9] Lewit K. Manuelle Medizin.— Munchen.— 1987.— S. 545.

[10] Onnerfalt R., Brismar J. // Int. Orthop.— 1989.— Vol. 13, № 2,— P. 143—145.

[11] Tile M. 11 J. Bone Joint Surg. [Br.]. — 1988,— Vol. 70, № 1,— P. 1 — 12.

RIGHTS & PERMISSIONS

Eco-Vector