Pelvic brim sign | ScienceGate

Study of Significance of Pelvic Brim Chord and Pelvic Brim Depth in Sex Determination of Human Hip Bone

International Journal of Scientific Research ◽

10.15373/22778179/jan2014/132 ◽

2012 ◽

Vol 3 (1) ◽

pp. 384-386

Author(s):

Dr. Sudarshan Gupta ◽

◽

Dr. Bhadresh Vaghela ◽

Dr. Deepak Howale ◽

Dr. Mehul Tandel

Keyword(s):

Sex Determination ◽

Pelvic Brim

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Plate fixation of the anterior pelvic ring in patients with fragility fractures of the pelvis

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-021-01625-z ◽

2021 ◽

Author(s):

Michiel Herteleer ◽

Mehdi Boudissa ◽

Alexander Hofmann ◽

Daniel Wagner ◽

Pol Maria Rommens

Keyword(s):

Pelvic Ring ◽

Plate Osteosynthesis ◽

Plate Fixation ◽

Weight Bearing ◽

Fragility Fractures ◽

Pubic Symphysis ◽

Osteoporotic Bone ◽

Screw Loosening ◽

Posterior Pelvic Ring ◽

Pelvic Brim

Abstract Introduction In fragility fractures of the pelvis (FFP), fractures of the posterior pelvic ring are nearly always combined with fractures of the anterior pelvic ring. When a surgical stabilization of the posterior pelvis is performed, a stabilization of the anterior pelvis is recommended as well. In this study, we aim at finding out whether conventional plate osteosynthesis is a valid option in patients with osteoporotic bone. Materials and methods We retrospectively reviewed medical charts and radiographs of all patients with a FFP, who underwent a plate osteosynthesis of the anterior pelvic ring between 2009 and 2019. Patient demographics, fracture characteristics, properties of the osteosynthesis, complications and revision surgeries were documented. Single plate osteosynthesis (SPO) at the pelvic brim was compared with double plate osteosynthesis (DPO) with one plate at the pelvic brim and one plate anteriorly. We hypothesized that the number and severity of screw loosening (SL) or plate breakage in DPO are lower than in SPO. Results 48 patients with a mean age of 76.8 years were reviewed. In 37 cases, SPO was performed, in 11 cases DPO. Eight out of 11 DPO were performed in patients with FFP type III or FFP type IV. We performed significantly more DPO when the instability was located at the level of the pubic symphysis (p = 0.025). More patients with a chronic FFP (surgery more than one month after diagnosis) were treated with DPO (p = 0.07). Infra-acetabular screws were more often inserted in DPO (p = 0.056). Screw loosening (SL) was seen in the superior plate in 45% of patients. There was no SL in the anterior plate. There was SL in 19 of 37 patients with SPO and in 3 of 11 patients with DPO (p = 0.16). SL was localized near to the pubic symphysis in 19 of 22 patients after SPO and in all three patients after DPO. There was no SL in DPO within the first month postoperatively. We performed revision osteosynthesis in six patients (6/48), all belonged to the SPO group (6/37). The presence of a bone defect, unilateral or bilateral anterior pelvic ring fracture, post-operative weight-bearing restrictions, osteosynthesis of the posterior pelvic ring, and the presence of infra- or supra-acetabular screws did not significantly influence screw loosening in SPO or DPO. Conclusion There is a high rate of SL in plate fixation of the anterior pelvic ring in FFP. In the vast majority, SL is located near to the pubic symphysis. DPO is associated with a lower rate of SL, less severe SL and a later onset of SL. Revision surgery is less likely in DPO. In FFP, we recommend DPO instead of SPO for fixation of fractures of the anterior pelvic ring, which are located in or near to the pubic symphysis.

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A Novel Fixation System for Acetabular Quadrilateral Plate Fracture: A Comparative Biomechanical Study

BioMed Research International ◽

10.1155/2015/391032 ◽

2015 ◽

Vol 2015 ◽

pp. 1-8 ◽

Cited By ~ 5

Author(s):

Guo-Chun Zha ◽

Jun-Ying Sun ◽

Sheng-Jie Dong ◽

Wen Zhang ◽

Zong-Ping Luo

Keyword(s):

Plate Fixation ◽

Biomechanical Properties ◽

Biomechanical Study ◽

Pelvic Brim ◽

Quadrilateral Plate ◽

Plate Fracture ◽

Fixation Techniques ◽

Biomechanical Experiment ◽

Fixation System

This study aims to assess the biomechanical properties of a novel fixation system (named AFRIF) and to compare it with other five different fixation techniques for quadrilateral plate fractures. This in vitro biomechanical experiment has shown that the multidirectional titanium fixation (MTF) and pelvic brim long screws fixation (PBSF) provided the strongest fixation for quadrilateral plate fracture; the better biomechanical performance of the AFRIF compared with the T-shaped plate fixation (TPF), L-shaped plate fixation (LPF), and H-shaped plate fixation (HPF); AFRIF gives reasonable stability of treatment for quadrilateral plate fracture and may offer a better solution for comminuted quadrilateral plate fractures or free floating medial wall fracture and be reliable in preventing protrusion of femoral head.

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Iliopsoas Tenotomy at the Lesser Trochanter Versus at the Pelvic Brim in Ambulatory Children With Cerebral Palsy

Journal of Pediatric Orthopaedics ◽

10.1097/bpo.0b013e31819c4041 ◽

2009 ◽

Vol 29 (3) ◽

pp. 251-255 ◽

Cited By ~ 18

Author(s):

Gad M. Bialik ◽

Rosemary Pierce ◽

Robin Dorociak ◽

Tack Shin Lee ◽

Michael D. Aiona ◽

...

Keyword(s):

Cerebral Palsy ◽

Pelvic Brim ◽

Lesser Trochanter ◽

Children With Cerebral Palsy

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Acute abdominal pain

10.1093/med/9780199568741.003.0023 ◽

2018 ◽

Author(s):

Satish Keshav ◽

Alexandra Kent

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Clostridium Difficile ◽

Diagnostic Tests ◽

Secondary Care ◽

Acute Abdominal Pain ◽

Intestinal Ischaemia ◽

Pelvic Brim

Acute abdominal pain is pain which is below the chest and above the pelvic brim and which has been present for ≤4 weeks. However, typically, patients present within hours of the onset of pain. The differential diagnosis does not differ much in primary and secondary care, although patients in hospital are probably more likely to be prone to iatrogenic illnesses such as pancreatitis, intestinal ischaemia, and Clostridium difficile-associated colitis. This chapter covers the approach to diagnosis, key diagnostic tests, therapies, prognosis, and dealing with uncertainty.

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