Pelvis Fractures: Episode 76

  • In this episode: There are several kinds of pelvis fractures. Most can be broken into two sub-headings, stable and unstable. The mostly commonly treated pelvis fracture at our clinic is an avulsion fracture.

  • Chip Review @ (09:20): Yummies – Zambos –Salsa Verde (Thank You Khem)

  • Trivia question of the week @ (08:04): – Which African nation has the most pyramids?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

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Brief overview of the episode:

           The pelvis is made up of 3 bones; sacrum, coccyx and hip bone. The hipbone is made up of 3 bones that are fused; ilium, ischium and pubis. This results in a structure that looks like a ring.
            Because of this ring structure often times a fracture to one area of the pelvis will be accompanied by a 2nd fracture. Causing an unstable fracture that needs to be corrected surgically.
            A stable fracture can also occur. Often times not requiring surgery. The most common of which is known as an avulsion fracture. This is when a tendon/muscle pulls of a piece of the bone. It is most common during the teenage years but can occur throughout the lifespan.
            Unstable fractures of the pelvis are caused by high velocity mechanisms. Motor-vehicle accidents, falls from height or crush injuries. Avulsions typically occur as sports injuries, overuse, or slips and falls.
            Recovery times vary greatly. Typically stable fracture can heal between 6-8 weeks. Unstable fracture can take a good deal longer 10+ weeks because surgery is almost always necessary. Also due to the high velocity nature of unstable fractures there are usually additional injuries sustained beyond the fracture(s).

 

Other episodes you might enjoy:

Iliotibial Band Syndrome (ITBS): Episode 9

Stress Fractures: Episode 43

Shoulder Pain: Episode 4

 

Proximal Hamstring: Episode 75

  • In this episode: Having a pain in the butt? There is a good chance you are dealing with an injury to your proximal hamstring.

  • Chip Review: Joe Chips – Classic Sea Salt (11:48)

  • Trivia question of the week: – Who was the only bachelor President of the United States? (10:18)

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

To Subscribe, Review and Download select your preferred hyperlink below

Apple Podcasts:

Google Play:

Youtube: 

Stitcher: 

Podbean: 

Brief overview of the episode:

         The proximal hamstring is the portion closest part to your buttocks. All three muscles of the hamstrings attach to the ischial tuberosity. Which is sometimes referred to as the sits bone. This is the bone you sit on when you are riding a bicycle. An injury to this area will feel like a pain in the buttocks.
          Injuries in this area can include tendonitis, tendonosis, avulsions and bursitis. These types of injuries tend to be more irritate and as such can become chronic.
          Mechanics of injury is the same for proximal hamstring injuries as it is for muscle belly or distal hamstring injuries. An eccentric contraction with the hip flexed and the knee extended. Putting the hamstring in it longest length. This is most common with slips and falls as well as from sports.
        Avulsion fractures of the ischial tuberosity are starting be to seen more often. With an avulsion a small portion of the bone is fractured off, but remains connected to the tendon. In most cases this can not be feel or seen without the use of an MRI. Best evidence at this time has found that most avulsions will heal without the need for surgical intervention.
         A good way to differentiate between an avulsion and tendonitis is when performing eccentric contractions of the hamstring. With repeated exercise a tendonitis will improve an avulsion however, will not.
         As with most injuries if you suspect some has occurred it is always a good idea to have it check out earlier rather than later to prevent it becoming a chronic issues that will take much longer to heal.

Other episodes you might enjoy:

Iliotibial Band Syndrome (ITBS): Episode 9

Iliotibial Band Syndrome (ITBS): Episode 9

 

 

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