Cases reported "Fractures, Closed"

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1/5. Stress fractures of the sacrum following strenuous activity.

    Three military recruits developed stress fractures in the sacral wing during rigorous elite basic training. Stress fractures in the sacrum have previously not been reported in a healthy population. sacrum, like every bone of the pelvis and the lower limb that participates in weight bearing, may be susceptible to stress fracture following sustained excessive physical activity.
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keywords = sacrum
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2/5. Bone scanning in the detection of occult fractures.

    The potential role of bone scanning in the early detection of occult fractures following acute trauma was investigated. technetium 99m pyrophosphate bone scans were obtained in patients with major clinical findings (e.g., pain, swelling, tenderness) and negative or equivocal roentgenograms following trauma. Bone scanning facilitated the prompt diagnosis of occult fractures in the hip, knee, wrist, ribs and costochondral junctions, sternum, vertebrae, sacrum, and coccyx. Several illustrative cases are presented. Roentgenographic confirmation occurred following a delay of days to weeks and, in some instances, the roentgenographic findings were subtle and could be easily overlooked. This study demonstrates bone scanning to be invaluable and definitive in the prompt detection of occult fractures.
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keywords = sacrum
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3/5. Lateral lumbosacral fracture dislocation: a case report.

    A case of lateral fracture dislocation of the fifth lumbar vertebra on the sacrum successfully treated by open reduction is described. The literature of this injury is reviewed.
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keywords = sacrum
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4/5. Treatment of painful long-standing displaced fracture-dislocations of the sacrum. A case report.

    A 19-year-old white man sustained multiple injuries, including a severely displaced Malgaigne fracture. Secondary uncontrollable hemorrhage was treated successfully by arterial embolization. The patient retained a painfully displaced right sacroiliac joint. His multiple injuries resolved symptom free with the exception of the right sacroiliac region. An attempt to reduce the dislocation by an extensive soft tissue release and skeletal traction was unsuccessful. Solid fusion of the L4 and L5 vertebrae to the ilium significantly reduced the patient's pain. Painful, long-standing severely displaced Malgaigne fracture can be successfully treated by sacroiliac arthrodesis without reduction.
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ranking = 0.8
keywords = sacrum
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5/5. Longitudinal fractures of the sacrum: case report.

    A longitudinal fracture of the sacrum without an associated neurologic deficit is described. It was treated by bedrest successfully. The case is compared to the usual transverse or oblique sacral fracture: we feel that because the sacral nerve roots were pushed to either side of the fracture there were no neurologic problems in the case presented.
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keywords = sacrum
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