Can Nondisplacement Osteoporotic Pubic Rami Fracture Be Life-Threatening Injuries? A Case Report, Overview, and Algorithm Protocol for Management.
| Autor: | Kastanis G; General Hospital of Heraklion 'Venizeleio-Pananeio,' Greece., Pantouvaki A; General Hospital of Heraklion 'Venizeleio-Pananeio,' Greece.; Hellenic Mediterranean University, Heraklion, Greece., Siligardou MR; General Hospital of Heraklion 'Venizeleio-Pananeio,' Greece., Chaniotakis C; General Hospital of Heraklion 'Venizeleio-Pananeio,' Greece., Kroustalakis E; General Hospital of Heraklion 'Venizeleio-Pananeio,' Greece., Stavrakakis I; General Hospital of Heraklion 'Venizeleio-Pananeio,' Greece., Kapsetakis P; General Hospital of Heraklion 'Venizeleio-Pananeio,' Greece. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of investigative medicine high impact case reports [J Investig Med High Impact Case Rep] 2024 Jan-Dec; Vol. 12, pp. 23247096241231648. |
| DOI: | 10.1177/23247096241231648 |
| Abstrakt: | Pubic rami fractures in the geriatric population are usually osteoporotic fractures resulting from low energy trauma and are characterized as stable injuries. Established treatment of these injuries is conservative, including rest, analgesic medication, and progressive active mobilization. These injuries are life-threatened when pubic rami fractures are accompanied by acute bleeding, either from an injury to a vessel (corona mortis) or from medication (anticoagulant or antiplatelet) for comorbidities, then. In this case study, we present the unusual case of an 82-year-old woman admitted to the emergency department 24 hours after a simple fall, causing nondisplacement osteoporotic pubic rami fracture, who, after 48 hours, developed a hematoma on the contralateral side of the pelvis, with progressive anemia and acute abdominal pain. This study has 2 objectives: to increase awareness of this life-threatening injury in the emergency department and to describe diagnosis and treatment modalities. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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