Wolfgang Lehmann, Recep Cagirici, Yamen Al Askar, Christopher Spering
{"title":"[Diagnostics and treatment of insufficiency fractures of the pelvis].","authors":"Wolfgang Lehmann, Recep Cagirici, Yamen Al Askar, Christopher Spering","doi":"10.1007/s00113-023-01409-7","DOIUrl":null,"url":null,"abstract":"<p><p>Insufficiency fractures of the pelvis have increased in recent years, primarily due to the demographic change and the incidence will continue to rise. In addition to conventional X‑rays, the diagnostics always require slice imaging. Unlike high-energy trauma magnetic resonance imaging (MRI) plays an important role in insufficiency fractures. Once the fracture has been diagnosed, in addition to the extent of instability in the anterior and posterior pelvic rings, the pain symptoms are crucial for the decision on surgical treatment. The basic principle is to stabilize as little as possible but as much as necessary. There are currently a variety of procedures that can be applied as a minimally invasive procedure, especially for the often slightly or displaced insufficiency fractures. The decisive factor for treatment is that it enables early mobilization of the patients. All of these measures must be accompanied by thorough diagnostics of osteoporosis and the appropriate treatment.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Unfallchirurgie (Heidelberg, Germany)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00113-023-01409-7","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/2/1 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Insufficiency fractures of the pelvis have increased in recent years, primarily due to the demographic change and the incidence will continue to rise. In addition to conventional X‑rays, the diagnostics always require slice imaging. Unlike high-energy trauma magnetic resonance imaging (MRI) plays an important role in insufficiency fractures. Once the fracture has been diagnosed, in addition to the extent of instability in the anterior and posterior pelvic rings, the pain symptoms are crucial for the decision on surgical treatment. The basic principle is to stabilize as little as possible but as much as necessary. There are currently a variety of procedures that can be applied as a minimally invasive procedure, especially for the often slightly or displaced insufficiency fractures. The decisive factor for treatment is that it enables early mobilization of the patients. All of these measures must be accompanied by thorough diagnostics of osteoporosis and the appropriate treatment.
骨盆不全骨折近年来有所增加,主要原因是人口结构的变化,而且发病率还将继续上升。除了常规的 X 射线检查外,诊断始终需要切片成像。与高能量创伤不同,磁共振成像(MRI)在损伤性骨折中发挥着重要作用。一旦确诊骨折,除了骨盆前后环的不稳定程度外,疼痛症状也是决定手术治疗的关键。基本原则是尽可能少地稳定,但在必要时稳定。目前有多种微创手术可供选择,尤其适用于轻微或移位的骨盆不全骨折。治疗的决定性因素是使患者能够尽早活动。在采取所有这些措施的同时,还必须进行彻底的骨质疏松症诊断和适当的治疗。