Pyelus fractures

21/06/2020

Fractures

Athletes may have fractures of the pelvic ring as well as the hip. Most often they are the detachment fractures of the pelvis and concern:

1. the anterior upper pelvic thorn by the action of the suture

2. the anterior lower pelvic thorn from the action of the rectus femoris

3. the sciatic curves from the action of the posterior femurs

4. the edge of the acetabulum from the action of the inverted head of the rectus femoris.

70-90% of pelvic detachments are stable. Unstable fractures usually require closed resuscitation. However, open repositioning and internal osteosynthesis may be required several times. Fractures of the hip, subclavian and diuretics, are treated with the classic surgical methods. Detachment fractures can occur in the major and minor trochanter.

Finally, in persistent hip pain in adolescent athletes we should not forget the possibility of femoral head epiphysis.

Pelvic fatigue fractures

Pelvic fatigue fractures usually occur in long-distance runners. The main location of these fractures is the union of the sciatic branch with the lower branch of the pubic bone. Patients with a fatigue fracture usually have pain throughout the range of motion of the hip. The pain also intensifies when the patient balances on one leg. Diagnosis can be difficult even after an X-ray, bone scintigraphy and MRI. Sometimes the diagnosis is made after weeks or even months.

Differential diagnosis

Diagnostic diagnosis of inguinal pain, in addition to musculoskeletal disorders, should necessarily include inflammatory bowel disease, prostatitis, herpes, and cancer of the rectum and genitals. That is why it is very important for the investigation of the groin of the groin to take a detailed history, a careful evaluation and an appropriate imaging test.

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