Pubic Symphysis Diastasis
Dislocations
Pelvic Bones
Fracture Fixation
Fracture Healing
External Fixators
Hip Fractures
Post partum diastasis of the pubic symphysis: a case report. (1/8)
The post partum pubic symphysis diastasis is an uncommon disease. It is resposible of acute pelvic pain. It increases when manual pressure is applied to the pelvis in a latero-lateral and antero-posterior direction. The diagnostic test for this condition is an anteroposterior X-ray of the pelvis. Here we present a case following spontaneous vaginal delivery. The conservative treatment is able to obtain good results. If this disease is underestimated the patient can develop chronic pain. (+info)Genetic analysis of Hedgehog signaling in ventral body wall development and the onset of omphalocele formation. (2/8)
(+info)Biomechanical analysis of a transiliac internal fixator. (3/8)
(+info)Management outcomes in pubic diastasis: our experience with 19 patients. (4/8)
(+info)Isolated anterior unilateral sacroiliac dislocation without pubic arch disjunction. (5/8)
(+info)Radiographic changes of implant failure after plating for pubic symphysis diastasis: an underappreciated reality? (6/8)
(+info)Is fixation failure after plate fixation of the symphysis pubis clinically important? (7/8)
(+info)Spontaneous urinary voiding of metallic screws in a patient with symphyseal plating for type II pelvic ring disruption. (8/8)
With rapid advancement in surgical techniques and improvement in implant materials, rate of internal fixation for pubic symphyseal disruption in rotationally and vertically unstable pelvic ring injuries has increased. Among various modes of implant failure, screw/plate breakage and loosening are common complications following unstable fixation. Migration of loose screws into the urinary bladder has been reported as an extremely uncommon complication of pubic symphyseal plating. Here we present a case report of a 52-year-old female who presented with asymptomatic passage of screws in her urine following migration into the bladder, 2 years after symphyseal plating for pubic diastasis in an anteroposterior compression pelvic ring injury. (+info)Pubic symphysis diastasis is a medical condition where there is an abnormal separation or widening of the pubic symphysis, which is the joint in the front of the pelvis that connects the two halves of the pelvic bone (innominate bones). This joint is normally made up of fibrocartilage and is held together by strong ligaments.
In pubic symphysis diastasis, these ligaments can become stretched or torn, leading to an increased distance between the two sides of the joint. This condition is often associated with pregnancy and childbirth, particularly in cases of prolonged labor, large birth weight, or instrument-assisted delivery (such as forceps or vacuum extraction). It can also occur due to trauma, such as a pelvic fracture, or as a result of certain medical conditions that weaken the ligaments, like Marfan syndrome.
Mild cases of pubic symphysis diastasis may not cause significant symptoms and may heal on their own over time. However, severe cases can lead to pain, difficulty walking, and problems with bladder or bowel control. Treatment typically involves rest, physical therapy, and pain management, although in some cases surgery may be required to repair the joint.
The pubic symphysis is the joint in the front of the pelvis that connects the two halves of the pelvic girdle, specifically the pubic bones. It's located at the lower part of the anterior (front) pelvic region. Unlike most joints, which are movable and contain synovial fluid, the pubic symphysis is a cartilaginous joint, also known as an amphiarthrosis.
The joint consists of fibrocartilaginous discs, ligaments, and the articular surfaces of the adjacent pubic bones. The fibrocartilaginous disc helps to absorb shock and reduce friction between the two bones. The main function of the pubic symphysis is to provide stability for the pelvis and transfer weight and forces from the upper body to the lower limbs during activities like walking, running, or jumping.
The pubic symphysis has a limited range of motion, allowing only slight movement in response to pressure or tension. During pregnancy and childbirth, the hormone relaxin is released, which increases the laxity of the pelvic joints, including the pubic symphysis, to accommodate the growing fetus and facilitate delivery. This increased mobility can sometimes lead to discomfort or pain in the area, known as symphysis pubis dysfunction (SPD) or pelvic girdle pain.
The pubic bone, also known as the pubis or pubic symphysis, is a part of the pelvis - the complex ring-like structure that forms the lower part of the trunk and supports the weight of the upper body. The pubic bone is the anterior (front) portion of the pelvic girdle, located at the bottom of the abdomen, and it connects to the other side at the pubic symphysis, a cartilaginous joint.
The pubic bone plays an essential role in supporting the lower limbs and providing attachment for various muscles involved in movements like walking, running, and jumping. It also protects some abdominal organs and contributes to the structure of the pelvic outlet, which is crucial during childbirth.
Osteitis is a medical term that refers to the inflammation of bone tissue. It can occur as a result of various conditions, such as infection (osteomyelitis), trauma, or autoimmune disorders. The symptoms of osteitis may include pain, swelling, warmth, and redness in the affected area, as well as fever and general malaise. Treatment typically involves addressing the underlying cause of the inflammation, which may involve antibiotics for infection or anti-inflammatory medications for other causes. In some cases, surgery may be necessary to remove infected or damaged bone tissue.
A dislocation is a condition in which a bone slips out of its normal position in a joint. This can happen as a result of trauma or injury, such as a fall or direct blow to the body. Dislocations can cause pain, swelling, and limited mobility in the affected area. In some cases, a dislocation may also damage surrounding tissues, such as ligaments, tendons, and nerves.
Dislocations are typically treated by reducing the dislocation, which means putting the bone back into its normal position. This is usually done with the help of medication to relieve pain and relaxation techniques to help the person stay still during the reduction. In some cases, surgery may be necessary to repair damaged tissues or if the dislocation cannot be reduced through other methods. After the dislocation has been reduced, the joint may be immobilized with a splint or sling to allow it to heal properly.
It is important to seek medical attention promptly if you suspect that you have a dislocation. If left untreated, a dislocation can lead to further complications, such as joint instability and chronic pain.
The pelvic bones, also known as the hip bones, are a set of three irregularly shaped bones that connect to form the pelvic girdle in the lower part of the human body. They play a crucial role in supporting the spine and protecting the abdominal and pelvic organs.
The pelvic bones consist of three bones:
1. The ilium: This is the largest and uppermost bone, forming the majority of the hip bone and the broad, flaring part of the pelvis known as the wing of the ilium or the iliac crest, which can be felt on the side of the body.
2. The ischium: This is the lower and back portion of the pelvic bone that forms part of the sitting surface or the "sit bones."
3. The pubis: This is the front part of the pelvic bone, which connects to the other side at the pubic symphysis in the midline of the body.
The pelvic bones are joined together at the acetabulum, a cup-shaped socket that forms the hip joint and articulates with the head of the femur (thigh bone). The pelvic bones also have several openings for the passage of blood vessels, nerves, and reproductive and excretory organs.
The shape and size of the pelvic bones differ between males and females due to their different roles in childbirth and locomotion. Females typically have a wider and shallower pelvis than males to accommodate childbirth, while males usually have a narrower and deeper pelvis that is better suited for weight-bearing and movement.
A bone fracture is a medical condition in which there is a partial or complete break in the continuity of a bone due to external or internal forces. Fractures can occur in any bone in the body and can vary in severity from a small crack to a shattered bone. The symptoms of a bone fracture typically include pain, swelling, bruising, deformity, and difficulty moving the affected limb. Treatment for a bone fracture may involve immobilization with a cast or splint, surgery to realign and stabilize the bone, or medication to manage pain and prevent infection. The specific treatment approach will depend on the location, type, and severity of the fracture.
Fracture fixation is a surgical procedure in orthopedic trauma surgery where a fractured bone is stabilized using various devices and techniques to promote proper healing and alignment. The goal of fracture fixation is to maintain the broken bone ends in correct anatomical position and length, allowing for adequate stability during the healing process.
There are two main types of fracture fixation:
1. Internal fixation: In this method, metal implants like plates, screws, or intramedullary rods are inserted directly into the bone to hold the fragments in place. These implants can be either removed or left in the body once healing is complete, depending on the type and location of the fracture.
2. External fixation: This technique involves placing pins or screws through the skin and into the bone above and below the fracture site. These pins are then connected to an external frame that maintains alignment and stability. External fixators are typically used when there is significant soft tissue damage, infection, or when internal fixation is not possible due to the complexity of the fracture.
The choice between internal and external fixation depends on various factors such as the type and location of the fracture, patient's age and overall health, surgeon's preference, and potential complications. Both methods aim to provide a stable environment for bone healing while minimizing the risk of malunion, nonunion, or deformity.
Fracture healing is the natural process by which a broken bone repairs itself. When a fracture occurs, the body responds by initiating a series of biological and cellular events aimed at restoring the structural integrity of the bone. This process involves the formation of a hematoma (a collection of blood) around the fracture site, followed by the activation of inflammatory cells that help to clean up debris and prepare the area for repair.
Over time, specialized cells called osteoblasts begin to lay down new bone matrix, or osteoid, along the edges of the broken bone ends. This osteoid eventually hardens into new bone tissue, forming a bridge between the fracture fragments. As this process continues, the callus (a mass of newly formed bone and connective tissue) gradually becomes stronger and more compact, eventually remodeling itself into a solid, unbroken bone.
The entire process of fracture healing can take several weeks to several months, depending on factors such as the severity of the injury, the patient's age and overall health, and the location of the fracture. In some cases, medical intervention may be necessary to help promote healing or ensure proper alignment of the bone fragments. This may include the use of casts, braces, or surgical implants such as plates, screws, or rods.
An external fixator is a type of orthopedic device used in the treatment of severe fractures or deformities of bones. It consists of an external frame that is attached to the bone with pins or wires that pass through the skin and into the bone. This provides stability to the injured area while allowing for alignment and adjustment of the bone during the healing process.
External fixators are typically used in cases where traditional casting or internal fixation methods are not feasible, such as when there is extensive soft tissue damage, infection, or when a limb needs to be gradually stretched or shortened. They can also be used in reconstructive surgery for bone defects or deformities.
The external frame of the fixator is made up of bars and clamps that are adjustable, allowing for precise positioning and alignment of the bones. The pins or wires that attach to the bone are carefully inserted through small incisions in the skin, and are held in place by the clamps on the frame.
External fixators can be used for a period of several weeks to several months, depending on the severity of the injury and the individual's healing process. During this time, the patient may require regular adjustments and monitoring by an orthopedic surgeon or other medical professional. Once the bone has healed sufficiently, the external fixator can be removed in a follow-up procedure.
A hip fracture is a medical condition referring to a break in the upper part of the femur (thigh) bone, which forms the hip joint. The majority of hip fractures occur due to falls or direct trauma to the area. They are more common in older adults, particularly those with osteoporosis, a condition that weakens bones and makes them more prone to breaking. Hip fractures can significantly impact mobility and quality of life, often requiring surgical intervention and rehabilitation.
A femoral fracture is a medical term that refers to a break in the thigh bone, which is the longest and strongest bone in the human body. The femur extends from the hip joint to the knee joint and is responsible for supporting the weight of the upper body and allowing movement of the lower extremity. Femoral fractures can occur due to various reasons such as high-energy trauma, low-energy trauma in individuals with weak bones (osteoporosis), or as a result of a direct blow to the thigh.
Femoral fractures can be classified into different types based on their location, pattern, and severity. Some common types of femoral fractures include:
1. Transverse fracture: A break that occurs straight across the bone.
2. Oblique fracture: A break that occurs at an angle across the bone.
3. Spiral fracture: A break that occurs in a helical pattern around the bone.
4. Comminuted fracture: A break that results in multiple fragments of the bone.
5. Open or compound fracture: A break in which the bone pierces through the skin.
6. Closed or simple fracture: A break in which the bone does not pierce through the skin.
Femoral fractures can cause severe pain, swelling, bruising, and difficulty walking or bearing weight on the affected leg. Diagnosis typically involves a physical examination, medical history, and imaging tests such as X-rays or CT scans. Treatment may involve surgical intervention, including the use of metal rods, plates, or screws to stabilize the bone, followed by rehabilitation and physical therapy to restore mobility and strength.