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Pelvic Insufficiency Fractures
Pelvic insufficiency fractures may occur in the absence of trauma or as a result of low-energy trauma in osteoporotic bone. With a growing geriatric population, the incidence of pelvic insufficiency fracture has increased over the last 3 decades and will continue to do so. These fractures can cause...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4252160/ https://www.ncbi.nlm.nih.gov/pubmed/26246940 http://dx.doi.org/10.1177/2151458514548895 |
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author | O’Connor, Timothy J. Cole, Peter A. |
author_facet | O’Connor, Timothy J. Cole, Peter A. |
author_sort | O’Connor, Timothy J. |
collection | PubMed |
description | Pelvic insufficiency fractures may occur in the absence of trauma or as a result of low-energy trauma in osteoporotic bone. With a growing geriatric population, the incidence of pelvic insufficiency fracture has increased over the last 3 decades and will continue to do so. These fractures can cause considerable pain, loss of independence, and economic burden to both the patient and the health care system. While many of these injuries are identified and treated based on plain radiographs, some remain difficult to diagnose. The role of advanced imaging in these cases is discussed. In addition to treating the fracture, medical comorbidities contributing to osteoporosis should be identified and corrected. Specific attention has been given to 25-OH serum vitamin D screening and repletion. Treatment generally consists of providing pain control and assisting patients with mobilization while allowing weight bearing as tolerated. In those unable to do so, invasive techniques such as sacroplasty as well as internal fixation may be beneficial. The role of operative fixation in insufficiency fractures is also discussed. |
format | Online Article Text |
id | pubmed-4252160 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-42521602015-12-01 Pelvic Insufficiency Fractures O’Connor, Timothy J. Cole, Peter A. Geriatr Orthop Surg Rehabil Articles Pelvic insufficiency fractures may occur in the absence of trauma or as a result of low-energy trauma in osteoporotic bone. With a growing geriatric population, the incidence of pelvic insufficiency fracture has increased over the last 3 decades and will continue to do so. These fractures can cause considerable pain, loss of independence, and economic burden to both the patient and the health care system. While many of these injuries are identified and treated based on plain radiographs, some remain difficult to diagnose. The role of advanced imaging in these cases is discussed. In addition to treating the fracture, medical comorbidities contributing to osteoporosis should be identified and corrected. Specific attention has been given to 25-OH serum vitamin D screening and repletion. Treatment generally consists of providing pain control and assisting patients with mobilization while allowing weight bearing as tolerated. In those unable to do so, invasive techniques such as sacroplasty as well as internal fixation may be beneficial. The role of operative fixation in insufficiency fractures is also discussed. SAGE Publications 2014-09-26 2014-12 /pmc/articles/PMC4252160/ /pubmed/26246940 http://dx.doi.org/10.1177/2151458514548895 Text en © The Author(s) 2014 |
spellingShingle | Articles O’Connor, Timothy J. Cole, Peter A. Pelvic Insufficiency Fractures |
title | Pelvic Insufficiency Fractures |
title_full | Pelvic Insufficiency Fractures |
title_fullStr | Pelvic Insufficiency Fractures |
title_full_unstemmed | Pelvic Insufficiency Fractures |
title_short | Pelvic Insufficiency Fractures |
title_sort | pelvic insufficiency fractures |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4252160/ https://www.ncbi.nlm.nih.gov/pubmed/26246940 http://dx.doi.org/10.1177/2151458514548895 |
work_keys_str_mv | AT oconnortimothyj pelvicinsufficiencyfractures AT colepetera pelvicinsufficiencyfractures |