- Pediatric Acetabular Fractures
- characteristics of pediatric pelvic fracture:
- in the report by Silber JS, et al, the authors identified 166 consecutive pelvic fractures;
- physes were scored as open, narrowed, or closed;
- risser sign, fracture pattern, survival after injury, and need for open reduction and internal fixation were recorded;
- 97 patients (mean age 5.7 years) had an open triradiate or an "immature pelvis."
- 32 patients (mean age 14 years) had a closed triradiate cartilage or a "mature pelvis."
- immature group had a higher propensity for isolated pubic rami and iliac wing fractures.
- management of fractures to the immature pelvis should focus on associated injuries.
- mature group had a higher predilection for acetabular fractures and pubic or sacroiliac diastasis.
- all patients requiring open reduction and internal fixation had a mature pelvis.
- once the triradiate cartilage has closed, adult pelvic fracture classifications and management principles should be used;
- ref: Changing patterns of pediatric pelvic fractures with skeletal maturation: implications for classification and management.
- in the report by Blasier RD, et al (2000)
- the authors retrospectively reviewed the medical records and radiographs of 189 patients with pelvic ring disruptions who were
evaluated at a tertiary care children's hospital during a 10-year period.
- of the 189 patients, 57 were identified with unstable pelvic fractures.
- 43 of these patients were available to complete a subjective evaluation of their treatment at midterm followup.
- 13 patients were treated operatively and 30 were treated nonoperatively.
- there was no significant difference in subjective scoring between the two groups for pain at rest, pain with activity, limp, leg length
discrepancy, and overall satisfaction with treatment.
- there were 92% good or excellent results in the patients who were treated operatively and 80% good or excellent results in the patients
who were treated nonoperatively.
- Disruption of the pelvic ring in pediatric patients.
Pediatric pelvic ring injuries: How benign are they?
Pediatric pelvic ring fractures.