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, avoiding large incisions ( Fig. 1 ), 2 cm posterior to the antero-superior iliac spine to avoid injury to the lateral femoral cutaneous nerve. The pin is inserted between the inner and outer table of the ilium directed towards the sacroiliac joint. If the
TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
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Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
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Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
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Introduction Open-book pelvic injuries are often caused by an anterior impact that leads to the external rotation of one or both hemipelves, resulting in the rupture of the symphysis pubis. The sacroiliac joint acts as a fulcrum of rotation
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sacroiliac – anterior (ASIL) and posterior) and long ligaments (sacro-sciatic ligament (SSL) and sacro-ischial ligament (SIL)). Anteriorly both iliac bones are directly joined together in the symphysis pubis (SP) by an amphiarthrosis joint with potent
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cases posterior pain may appear due to osteoarthritic changes in the sacro-iliac joint. 23 It is important to differentiate true pelvic pain from mechanical low back pain secondary to a compensatory scoliotic curve of the lumbosacral spine, and from
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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, in particular with respect to the L5–S1 facet, which together with lumbosacral posterior ligaments and sacroiliac joints, determines spondilopelvic stability. 28 He identified longitudinal transforaminal fractures and divided them into three
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the obese, this causes reduction of contrast, so the assessment of the bony structures is hindered. Figure 2 shows an intra-operative lateral view of the sacrum with two screws fixating the sacroiliac (SI) joints on both sides. Due to low contrast
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Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
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.0%) 1 (100%) 0 (0.0%) 1 (100%) External fixator and sacroiliac fixation 1 (100%) 0 (0.0%) 1 (100%) 0 (0.0%) 1 (100%) ORIF of symphysis and sacroiliac joint 3 (100%) 0 (0.0%) 0 (0.0%) 3 (100%) 3 (100%) External
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with the urinary bladder. The internal obturator muscle is then elevated by subperiosteal dissection and the infrapectineal bone can be exposed as far posterior as the sacroiliac joint. Fig. 3 Pararectus approach. After incising the aponeurosis of
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. Anatomy and biomechanics of the pelvic ring The pelvic ring consists of the sacrum and the two hip bones (each one of them consisting of an ischium, ilium and pubic bone) which are connected by three joints, namely two sacroiliac (SI) joints between the
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reduction and internal fixation. The pelvic C-clamp can be used posteriorly for the direct reduction of vertically and rotationally unstable fractures. By exerting transverse compression over the sacroiliac joint, the basis for effective pelvic tamponade