Prevalence of Pelvic Ring Fracture Detected by Radiographical Imaging
Keywords:
pelvic ring, fracture, sex, age.
Abstract
This study aimed to know the Prevalence of pelvic ring fracture detected by radiographical imaging. From 1237 fracture cases, One hundred ten MRI exams over the course of a three-year period from 2021, to 2023. Age, gender and presence of other diseases were recorded. Inclusion criteria included receiving radiography of the hip, pelvis, or femur in the emergency room, followed by diagnostic MRI of the hip or pelvis within one calendar day. All MRI and radiographic tests were carried out at a single special clinic. The current study showed that pelvic ring fractures were occurred at percentage 8.9 from all fracture cases, and the prevalence of ring fractures was more in elderly age groups more than 40 years. The present study showed that fractures were more prevalent in females than males. The results also showed that 101 (91.8%) patients were suffered from osteoporosis.
In conclusion, the pelvic ring fractures were mostly prevalent in female than male especially in elderly patients
References
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Balogh Z, King KL, Mackay P, McDougall D, Mackenzie S, Evans JA, et al. The epidemiology of pelvic ring fractures: a population-based study. The Journal of trauma. 2007;63:1066-73; discussion 72-3.
Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006;37:691-7.
Luthje P, Nurmi I, Kataja M, Heliovaara M, Santavirta S. Incidence of pelvic fractures in Finland in 1988. Acta Orthop Scand. 1995;66:245-8.
Melton LJ, 3rd, Sampson JM, Morrey BF, Ilstrup DM. Epidemiologic features of pelvic fractures. Clin Orthop Relat Res. 1981:43-7.
Ragnarsson B, Jacobsson B. Epidemiology of pelvic fractures in a Swedish county. Acta Orthopaedica Scandinavica. 2009;63:297-300.
Pennal GF, Tile M, Waddell JP, Garside H. Pelvic disruption: assessment and classification. Clin Orthop Relat Res. 1980:12-21.
Pohlemann T, Bosch U, Gansslen A, Tscherne H. The Hannover experience in management of pelvic fractures. Clin Orthop Relat Res. 1994:69-80.
Burgess AR, Eastridge BJ, Young JW, Ellison TS, Ellison PS, Jr., Poka A, et al. Pelvic ring disruptions: effective classification system and treatment protocols. The Journal of trauma. 1990;30:848-56.
Tile M. Pelvic fractures: operative versus nonoperative treatment. The Orthopedic clinics of North America. 1980;11:423-64.
Tile M. Pelvic ring fractures: should they be fixed? J Bone Joint Surg Br. 1988;70:1-12.
Tile M, Pennal GF. Pelvic disruption: principles of management. Clin Orthop Relat Res. 1980:56- 64.
Cheng M, Cheung MT, Lee KY, Lee KB, Chan SC, Wu AC, et al. Improvement in institutional protocols leads to decreased mortality in patients with haemodynamically unstable pelvic fractures. Emerg Med J. 2015;32:214-20.
Fitzgerald CA, Morse BC, Dente CJ. Pelvic ring fractures: has mortality improved following the implementation of damage control resuscitation? Am J Surg. 2014;208:1083-90; discussion 9-90.
Morshed S, Knops S, Jurkovich GJ, Wang J, MacKenzie E, Rivara FP. The impact of trauma-center care on mortality and function following pelvic ring and acetabular injuries. The Journal of bone and joint surgery American volume. 2015;97:265-72.
Sharpe JP, Magnotti LJ, Gobbell WC, Huang X, Perez EA, Fabian TC, et al. Impact of early operative pelvic fixation on long-term self-reported outcome following severe pelvic fracture. J Trauma Acute Care Surg. 2017;82:444-50.
Verbeek DO, Sugrue M, Balogh Z, Cass D, Civil I, Harris I, et al. Acute management of hemodynamically unstable pelvic trauma patients: time for a change? Multicenter review of recent practice. World J Surg. 2008;32:1874-82.
Wang H, Robinson RD, Moore B, Kirk AJ, Phillips JL, Umejiego J, et al. Predictors of early versus late mortality in pelvic trauma patients. Scandinavian journal of trauma, resuscitation and emergency medicine. 2016;24:27.
Bakhshayesh P, Boutefnouchet T, Totterman A. Effectiveness of non invasive external pelvic compression: a systematic review of the literature. Scandinavian journal of trauma, resuscitation and emergency medicine. 2016;24:73.
Croce MA, Magnotti LJ, Savage SA, Wood GW, 2nd, Fabian TC. Emergent pelvic fixation in patients with exsanguinating pelvic fractures. J Am Coll Surg. 2007;204:935-9; discussion 40-2.
Krieg JC, Mohr M, Ellis TJ, Simpson TS, Madey SM, Bottlang M. Emergent stabilization of pelvic ring injuries by controlled circumferential compression: a clinical trial. The Journal of trauma. 2005;59:659-64.
Vermeulen B, Peter R, Hoffmeyer P, Unger PF. Prehospital stabilization of pelvic dislocations: A new strap belt to provide temporary hemodynamic stabilization. Swiss Surgery. 1999;5:43-6.
Pohlemann T, Culemann U, Gansslen A, Tscherne H. [Severe pelvic injury with pelvic mass hemorrhage: determining severity of hemorrhage and clinical experience with emergency stabilization]. Der Unfallchirurg. 1996;99:734-43.
Hauschild O, Strohm PC, Culemann U, Pohlemann T, Suedkamp NP, Koestler W, et al. Mortality in patients with pelvic fractures: results from the German pelvic injury register. The Journal of trauma. 2008;64:449-55.
Kabak S, Halici M, Tuncel M, Avsarogullari L, Baktir A, Basturk M. Functional outcome of open reduction and internal fixation for completely unstable pelvic ring fractures (type C): a report of 40 cases. J Orthop Trauma. 2003;17:555-62.
Lefaivre KA, Slobogean GP, Ngai JT, Broekhuyse HM, O'Brien PJ. What outcomes are important for patients after pelvic trauma? Subjective responses and psychometric analysis of three published pelvic-specific outcome instruments. J Orthop Trauma. 2014;28:23-7.
Mears DC. [Management of pelvic pseudarthroses and pelvic malunion]. Der Orthopade. 1996;25:441-8.
Mears DC, Velyvis J. Surgical reconstruction of late pelvic post-traumatic nonunion and malalignment. J Bone Joint Surg Br. 2003;85:21-30.
Vanderschot P, Craninx L, Rommens P, Broos P. [Functional results following the surgical treatment of unstable pelvic girdle fractures]. Acta chirurgica Belgica. 1991;91:250-7.
Palmer CS, Gabbe BJ, Cameron PA. Defining major trauma using the 2008 Abbreviated Injury Scale. Injury. 2016;47:109-15.
Sampalis JS, Denis R, Frechette P, Brown R, Fleiszer D, Mulder D. Direct transport to tertiary trauma centers versus transfer from lower level facilities: impact on mortality and morbidity among patients with major trauma. The Journal of trauma. 1997;43:288-95; discussion 95-6.
Gabbe BJ, Biostat GD, Lecky FE, Bouamra O, Woodford M, Jenks T, et al. The effect of an organized trauma system on mortality in major trauma involving serious head injury: a comparison of the United kingdom and victoria, australia. Ann Surg. 2011;253:138-43.
Gabbe BJ, Hofstee DJ, Esser M, Bucknill A, Russ MK, Cameron PA, et al. Functional and return to work outcomes following major trauma involving severe pelvic ring fracture. ANZ journal of surgery. 2015;85:749-54.
Holbrook TL, Hoyt DB. The impact of major trauma: quality-of-life outcomes are worse in women than in men, independent of mechanism and injury severity. The Journal of trauma. 2004;56:284-90.
Pisquiy, J. J., Carter, J. T., Chan, A., Kusnezov, N., & Adler, A. (2020). Incidence of pelvic ring fractures in the US military population. Cureus, 12(2).
Balogh Z, King KL, Mackay P, McDougall D, Mackenzie S, Evans JA, et al. The epidemiology of pelvic ring fractures: a population-based study. The Journal of trauma. 2007;63:1066-73; discussion 72-3.
Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006;37:691-7.
Luthje P, Nurmi I, Kataja M, Heliovaara M, Santavirta S. Incidence of pelvic fractures in Finland in 1988. Acta Orthop Scand. 1995;66:245-8.
Melton LJ, 3rd, Sampson JM, Morrey BF, Ilstrup DM. Epidemiologic features of pelvic fractures. Clin Orthop Relat Res. 1981:43-7.
Ragnarsson B, Jacobsson B. Epidemiology of pelvic fractures in a Swedish county. Acta Orthopaedica Scandinavica. 2009;63:297-300.
Pennal GF, Tile M, Waddell JP, Garside H. Pelvic disruption: assessment and classification. Clin Orthop Relat Res. 1980:12-21.
Pohlemann T, Bosch U, Gansslen A, Tscherne H. The Hannover experience in management of pelvic fractures. Clin Orthop Relat Res. 1994:69-80.
Burgess AR, Eastridge BJ, Young JW, Ellison TS, Ellison PS, Jr., Poka A, et al. Pelvic ring disruptions: effective classification system and treatment protocols. The Journal of trauma. 1990;30:848-56.
Tile M. Pelvic fractures: operative versus nonoperative treatment. The Orthopedic clinics of North America. 1980;11:423-64.
Tile M. Pelvic ring fractures: should they be fixed? J Bone Joint Surg Br. 1988;70:1-12.
Tile M, Pennal GF. Pelvic disruption: principles of management. Clin Orthop Relat Res. 1980:56- 64.
Cheng M, Cheung MT, Lee KY, Lee KB, Chan SC, Wu AC, et al. Improvement in institutional protocols leads to decreased mortality in patients with haemodynamically unstable pelvic fractures. Emerg Med J. 2015;32:214-20.
Fitzgerald CA, Morse BC, Dente CJ. Pelvic ring fractures: has mortality improved following the implementation of damage control resuscitation? Am J Surg. 2014;208:1083-90; discussion 9-90.
Morshed S, Knops S, Jurkovich GJ, Wang J, MacKenzie E, Rivara FP. The impact of trauma-center care on mortality and function following pelvic ring and acetabular injuries. The Journal of bone and joint surgery American volume. 2015;97:265-72.
Sharpe JP, Magnotti LJ, Gobbell WC, Huang X, Perez EA, Fabian TC, et al. Impact of early operative pelvic fixation on long-term self-reported outcome following severe pelvic fracture. J Trauma Acute Care Surg. 2017;82:444-50.
Verbeek DO, Sugrue M, Balogh Z, Cass D, Civil I, Harris I, et al. Acute management of hemodynamically unstable pelvic trauma patients: time for a change? Multicenter review of recent practice. World J Surg. 2008;32:1874-82.
Wang H, Robinson RD, Moore B, Kirk AJ, Phillips JL, Umejiego J, et al. Predictors of early versus late mortality in pelvic trauma patients. Scandinavian journal of trauma, resuscitation and emergency medicine. 2016;24:27.
Bakhshayesh P, Boutefnouchet T, Totterman A. Effectiveness of non invasive external pelvic compression: a systematic review of the literature. Scandinavian journal of trauma, resuscitation and emergency medicine. 2016;24:73.
Croce MA, Magnotti LJ, Savage SA, Wood GW, 2nd, Fabian TC. Emergent pelvic fixation in patients with exsanguinating pelvic fractures. J Am Coll Surg. 2007;204:935-9; discussion 40-2.
Krieg JC, Mohr M, Ellis TJ, Simpson TS, Madey SM, Bottlang M. Emergent stabilization of pelvic ring injuries by controlled circumferential compression: a clinical trial. The Journal of trauma. 2005;59:659-64.
Vermeulen B, Peter R, Hoffmeyer P, Unger PF. Prehospital stabilization of pelvic dislocations: A new strap belt to provide temporary hemodynamic stabilization. Swiss Surgery. 1999;5:43-6.
Pohlemann T, Culemann U, Gansslen A, Tscherne H. [Severe pelvic injury with pelvic mass hemorrhage: determining severity of hemorrhage and clinical experience with emergency stabilization]. Der Unfallchirurg. 1996;99:734-43.
Hauschild O, Strohm PC, Culemann U, Pohlemann T, Suedkamp NP, Koestler W, et al. Mortality in patients with pelvic fractures: results from the German pelvic injury register. The Journal of trauma. 2008;64:449-55.
Kabak S, Halici M, Tuncel M, Avsarogullari L, Baktir A, Basturk M. Functional outcome of open reduction and internal fixation for completely unstable pelvic ring fractures (type C): a report of 40 cases. J Orthop Trauma. 2003;17:555-62.
Lefaivre KA, Slobogean GP, Ngai JT, Broekhuyse HM, O'Brien PJ. What outcomes are important for patients after pelvic trauma? Subjective responses and psychometric analysis of three published pelvic-specific outcome instruments. J Orthop Trauma. 2014;28:23-7.
Mears DC. [Management of pelvic pseudarthroses and pelvic malunion]. Der Orthopade. 1996;25:441-8.
Mears DC, Velyvis J. Surgical reconstruction of late pelvic post-traumatic nonunion and malalignment. J Bone Joint Surg Br. 2003;85:21-30.
Vanderschot P, Craninx L, Rommens P, Broos P. [Functional results following the surgical treatment of unstable pelvic girdle fractures]. Acta chirurgica Belgica. 1991;91:250-7.
Palmer CS, Gabbe BJ, Cameron PA. Defining major trauma using the 2008 Abbreviated Injury Scale. Injury. 2016;47:109-15.
Sampalis JS, Denis R, Frechette P, Brown R, Fleiszer D, Mulder D. Direct transport to tertiary trauma centers versus transfer from lower level facilities: impact on mortality and morbidity among patients with major trauma. The Journal of trauma. 1997;43:288-95; discussion 95-6.
Gabbe BJ, Biostat GD, Lecky FE, Bouamra O, Woodford M, Jenks T, et al. The effect of an organized trauma system on mortality in major trauma involving serious head injury: a comparison of the United kingdom and victoria, australia. Ann Surg. 2011;253:138-43.
Gabbe BJ, Hofstee DJ, Esser M, Bucknill A, Russ MK, Cameron PA, et al. Functional and return to work outcomes following major trauma involving severe pelvic ring fracture. ANZ journal of surgery. 2015;85:749-54.
Holbrook TL, Hoyt DB. The impact of major trauma: quality-of-life outcomes are worse in women than in men, independent of mechanism and injury severity. The Journal of trauma. 2004;56:284-90.
Pisquiy, J. J., Carter, J. T., Chan, A., Kusnezov, N., & Adler, A. (2020). Incidence of pelvic ring fractures in the US military population. Cureus, 12(2).
Published
2023-06-14
How to Cite
Dr. Thamer Yasir Hussein Alrikabi, Dr.Asaad Mousa Joudah Al-Baaj, & Dr. Qassim Najem Abud Al Jenapi. (2023). Prevalence of Pelvic Ring Fracture Detected by Radiographical Imaging. Central Asian Journal of Medical and Natural Science, 4(3), 995-999. https://doi.org/10.51699/cajmns.v4i3.1608
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