• Harefuah · Aug 2002

    [High rate of sacral fractures in elderly patients presenting pubic rami fractures].

    • Abraham Adunsky, Yerucham Kleinbaum, Rami Levi, and Marina Arad.
    • Depts. of Geriatric Medicine, Institute of Imaging, Sheba Medical Center, Tel Hashomer.
    • Harefuah. 2002 Aug 1; 141 (8): 677-9, 763.

    BackgroundPubic rami fractures are common in the elderly, resulting from low energy traumatic falls. The recovery of some of these patients may be disproportionately slow.ObjectiveTo investigate the characteristics of older patients admitted with pubic rami fractures and possible associated pelvic fractures.Patients And MethodsWe 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.ResultsSix 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.ConclusionThere is a considerable high rate of association of combined pubic and sacral fractures. Greater awareness of this clinical condition is required.

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