Prolonged pain in patients with fragility fractures of the pelvis may be due to fracture progression
| Autor: | Jota Saito, Hideki Tsuji, Yasuhisa Ueda, Yui Shitan, Takahiro Inui, Yoshiaki Kurata |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Sports medicine Pain Critical Care and Intensive Care Medicine Pelvis 03 medical and health sciences Fractures Bone 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine In patient Elective surgery Pelvic Bones Retrospective Studies 030222 orthopedics business.industry 030208 emergency & critical care medicine Odds ratio Surgery Exact test medicine.anatomical_structure Inclusion and exclusion criteria Cohort Emergency Medicine business |
| Zdroj: | European journal of trauma and emergency surgery : official publication of the European Trauma Society. 47(2) |
| ISSN: | 1863-9941 |
| Popis: | Most fragility fractures of the pelvis (FFPs) are conservatively treated in the early phase. However, the definition of conservative treatment failure and the subsequent treatment protocol is controversial. Fracture progression (FP) sometimes occurs during conservative treatment of FFPs. This study aimed to assess the association between FP and prolonged pain in patients with FFPs receiving conservative treatment. Retrospective case series in a single institution in Japan. A total of 192 consecutive FFP patients were identified during study period. Seventy-nine patients met the inclusion and exclusion criteria. FFPs were diagnosed using both CT and MRI and FP was diagnosed with CT. Patients met criteria for prolonged pain if they had persisting pain after 2 weeks of conservative treatment and had lack of improvement in mobility. The relationship between FP and prolonged pain was analyzed using Fisher’s exact test. Of the 79 patients, 18 developed FP. Four of the 18 patients with FP met criteria for prolonged pain. Two of 61 patients without FP had prolonged pain (p = 0.022; odds ratio 8.12). In the entire study cohort, six patients (7.6%) met criteria prolonged pain and underwent elective surgery. In patients with FFPs, prolonged pain was associated with FP (p = 0.022, OR 8.12). The presence of prolonged pain might help identify FP. If FP is identified, surgical treatment may be required with cautious follow-up particularly in cases, where FFP progresses to type III or IV fracture. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink