The turning point of the ischium
Anatomically ischium placed in the back and the lower part of the acetabulum, and the body is made up of branches. The waste from her body branch has thickened - ischial tuberosity and the lower part adherent to the lower branch of the pubic bone. Strong muscle contractions due to uncoordinated jerky movements, as well as the fall in the buttock may cause a fracture of the ischial bone.
Ischium fracture treatment and diagnosis
Falling on the ischial tuberosity are the most common types of fractures ischium as fractures buttocks, unilateral or bilateral vertical fracture of the pelvis. As a result of the strong muscle contractions often fractures ischial bone fractures in the form of vouchers iliac tuberosity.
Fractures of the ischium are quite severe injuries of the musculoskeletal system of man, and their frequency is about 10% of all trauma injuries.
If there is an isolated fracture of the ischial bone, the prognosis is favorable for such damage, and the risk of complications is minimal. These fractures occur mostly due to direct injury.
Closed fractures of ischium can be both single and multiple. If a single fracture, the most frequently injured forward semicircle in the form of butterfly formed ischium.
It is often sitting bones fractures develop due to fall on the buttocks or crushed pelvis. Patients complain of pain in the fall, which are amplified while moving the lower limbs, in particular when bending the leg.
For an adequate diagnosis of fractures ischial bone is important to collect all the details correct history of injury, especially when falling posture. Also, check the patient's needs. Patients are not always in the mind as a result of the painful shock, and symptoms such as bruising at the fracture site, often develop a few hours after the injury. The method of objective diagnosis of fracture of the ischial bone is radiography.
Treatment of fractures of the ischial bone necessarily includes analgesics. The most comfortable for the patient is supine position in a pose "frog": the legs bent at the hip and knee joints, hips are rotated outwards, knees divorced, and feet are closed. In order to ensure it can be used as specialized orthopedic beds, and conventional bed, equipped with special rollers. Such rollers enclose patients in hip and knee joints.
The main importance is given to the treatment of bed rest, the duration of which is not less than 4 weeks. This functional recovery of the affected limb is possible after 7 weeks. Further recommended rehabilitation in the form of physical therapy and physical therapy.
Consequences of fracture of the ischium
With multiple fractures sitting bones may develop various complications, as well as damage to internal organs of patients - the bladder and urethra, intestines, internal genital organs. Often, there may be the strongest traumatic bleeding. These fractures occur in car accidents, collapse of buildings, earthquakes.
The consequences of fracture of the ischial bones could be traumatic infection and even sepsis, delayed bone fusion and fusion of wrong or non-union.
Also in the area of the fracture can be observed damage to blood vessels, muscles, nerves and tendons, development of paresthesias due to traumatic compression, osteomyelitis and osteoarthritis.
In the most severe cases can develop limb shortening, atrophy and wasting gluteal muscle contracture of the hip joints.