Lateral compression fractures of the superior pubic ramus with intra-articular extension.
A total of 30 patients with lateral compression fractures of the pelvis with intra-articular extension into the anterior column were followed for a mean of 4.2 years (2 to 6), using the validated functional outcome tools of the musculoskeletal function assessment and the short-form health survey (SF-36). The functional outcome was compared with that of a series of patients who had sustained type-B1 and type-C pelvic fractures. The lateral-compression group included 20 men and ten women with a mean age of 42.7 years (13 to 84) at the time of injury. Functional deficits were noted for the mental component summary score (p = 0.008) and in the social function domain (p < 0.05) of the SF-36. There was no evidence of degenerative arthritis in the lateral-compression group. However, they had high functional morbidity including greater emotional and psychological distress.
Laflamme
G Y
GY
Hôpital du Sacre-Coeur de Montreal, 5400 Gouin Ouest, Room C-2080, Montreal, Quebec H4J 1C5, Canada.
Delisle
J
J
Rouleau
D
D
Uzel
A-P
AP
Leduc
S
S
D000077:Acetabulum / Q000293:injuries; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D017102:Fracture Healing / Q000502:physiology; D050815:Fractures, Compression / Q000150:complications / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries*; D011379:Prognosis; D011630:Pubic Bone / Q000293:injuries; D020127:Recovery of Function; D016896:Treatment Outcome; D055815:Young Adult