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.
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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).
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