ISSN: 1859 - 2872
Morphology of fracture - dislocation sacroiliac joint injuries on CT scan with 3D reconstruction of pelvic
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Abstract
Objective: To study the morphology of fracture - dislocations sacroiliac joint injuries on CT scan pelvic with three dimensional (3D) reconstruction. Subject and method: CT scan pelvic with three dimensional reconstruction images of cases dislocation SIJ, fracture – dislocation sacroiliac joint, treated at the Trauma and Orthopedics department of Cho Ray hospital (from January 2015 to June 2019). Result: Most of cases were crescent fractures and sacroiliac joint dislocation (64.3%), in which the Day III type was the highest rate (41.7%). The main displacement direction was backward, upward and outward (42.9%). There were 3 cases of anterior fractures – dislocation sacroiliac joint (looked type). Most of cases combined with other injuries as ischiopubic rami fractures, pelvis rami fractures (35/48 patients). 8/48 patients were bilateral fracture - dislocations sacroiliac joint. Conclusion: This study provides some patterns of fracture - dislocations sacroiliac joint injuries, that were very helpful in the diagnosis, classification and choosing treatment methods.
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References
2. Calafi LA and Routt ML (2013) Posterior iliac crescent fracture-dislocation: What morphological variations are amenable to iliosacral screw fixation?. Injury 44(2): 194-198.
3. Day AC, Kinmont C, Bircher MD et al (2007) Crescent fracture-dislocation of the sacroiliac joint. A functional classification. J Bone Jt Surg - Ser B, 89(5): 651-658.
4. Lewis MM and Arnold WD (1976) Complete anterior dislocation of the sacro iliac joint. A case report. J Bone Jt Surg - Ser A 58(1): 136-138.
5. Lindahl J and Gänsslen A (2021) Principles of Treatment of Pelvic Ring Injuries. Pelvic Ring Fractures. 4th, Thieme, Switzerland: 277-283.
6. Pérez- Mananes R, Chana-Rodríguez F, Vaquero Martín J (2010) Usefulness of 3D computed tomography in surgical planning of pelvic fractures. Acta Orthpédica Mex 24(5): 305-310.
7. Shillito M, Linn M, Girard P et al (2014) Anterior sacroiliac dislocation: A case report and review of the literature. JBJS Case Connect 4(3): 78.
8. Suzuki T, Hak DJ, Ziran BH et al (2009) Outcome and complications of posterior transiliac plating for vertically unstable sacral fractures. Injury 40(4): 405-409.
9. Wedegärtner U, Gatzka C, Rueger JM et al (2003) Multislice CT (MSCT) in der detektion und klassifikation von becken- und azetabulumfrakturen. RoFo Fortschritte auf dem Gebiet der Rontgenstrahlen und der Bildgeb Verfahren 175(1): 105-111.
10. Yun SJ, Jin W, Yoon SH et al (2016) Diagnostic performance of abdominal CT for diagnosis of pelvic fractures: Comparison with pelvic CT. Acta radiol 57(10): 1244–1250.
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