Can Nondisplacement Osteoporotic Pubic Rami Fracture Be Life-Threatening Injuries? A Case Report, Overview, and Algorithm Protocol for Management.
Grigorios KastanisAnna PantouvakiMikela-Rafaella SiligardouConstantinos ChaniotakisEmmanouil KroustalakisIoannis StavrakakisPetros KapsetakisPublished in: Journal of investigative medicine high impact case reports (2024)
Pubic rami fractures in the geriatric population are usually osteoporotic fractures resulting from low energy trauma and are characterized as stable injuries. Established treatment of these injuries is conservative, including rest, analgesic medication, and progressive active mobilization. These injuries are life-threatened when pubic rami fractures are accompanied by acute bleeding, either from an injury to a vessel (corona mortis) or from medication (anticoagulant or antiplatelet) for comorbidities, then. In this case study, we present the unusual case of an 82-year-old woman admitted to the emergency department 24 hours after a simple fall, causing nondisplacement osteoporotic pubic rami fracture, who, after 48 hours, developed a hematoma on the contralateral side of the pelvis, with progressive anemia and acute abdominal pain. This study has 2 objectives: to increase awareness of this life-threatening injury in the emergency department and to describe diagnosis and treatment modalities.
Keyphrases
- emergency department
- liver failure
- bone mineral density
- multiple sclerosis
- adverse drug
- abdominal pain
- respiratory failure
- atrial fibrillation
- healthcare
- randomized controlled trial
- drug induced
- hip fracture
- machine learning
- aortic dissection
- deep learning
- postmenopausal women
- spinal cord
- intensive care unit
- hepatitis b virus
- trauma patients
- mechanical ventilation