Click here for more information about pelvic surgery. The majority of patients resume a normal sex life once the pelvic fractures have healed, though remember the amount of weight you have been asked to restrict through your hip and leg also applies to any sexual position.
Please discuss this with your orthopaedic consultant so you can be correctly counselled. If you have experienced damage to your bladder, rectum or vagina at the time of your injury, you may have problems with sexual dysfunction.
Sometimes pelvic injury can cause pain during intercourse for women and erectile dysfunction in men. Your consultant will advise you of this and can refer you to the most appropriate team to help you. Click here for more information about related injuries and possible complications following pelvic surgery. Returning to work will depend on a number of factors; your occupation, your injuries and the surgery undertaken. Most patients find they are able to start sports after four to six months once fully healed, but your consultant will advise you based on your specific injuries and surgery when you come back for your outpatient appointment.
We use cookies to improve your experience of our site. Online Community: Sign In Register. Home Recovery Info What is Trauma? What is Trauma? Types of pelvic injury The pelvis The pelvis is a ring made up of two bones joined at: the back by the sacrum tail bone , which is the lowest part of the spine the front by the pubis symphysis a cartilage joint. The pelvis protects: the bladder the bowel the organs of sexual reproduction the blood vessels and nerves which go to your legs.
When walking and sitting your body weight is transmitted through the pelvis. Types of pelvic injury Pelvic injuries are usually caused by significant trauma, such as road traffic collisions, falls from height or a crush injury.
Anterior-posterior AP compression fractures This type of injury results causes a widening of the pelvic ring, as illustrated below. Lateral compression injury An impact from the side creates lateral compression fractures, as illustrated below.
See also Overview of the Urinary Tract. X-rays are usually not helpful in evaluating When people have been in a major accident are taken to an emergency department, serious injuries must be treated as soon as possible.
If bleeding is severe, steps must be taken immediately to stop the bleeding. People usually need to be admitted to a hospital. Minor, stable pelvic fractures typically heal without causing permanent disabilities. Surgery is rarely needed, but bed rest may be needed. However, bed rest should be for as short a time as possible. Pain relievers analgesics can help relieve pain enough so that people can walk. To avoid the weakness, stiffness, and other complications that occur with bed rest, people should walk, stand, and put their full weight on the joint as soon as possible, even if they can do so only for a short time.
Trying to walk does not injure the area further. Most people can walk short distances without a walker by 1 week and can walk without aid and with only mild discomfort in 1 to 2 months. Severe pelvic fractures, which are often unstable, must be immobilized. Emergency personnel usually stabilize the joint by wrapping it with strips of cloth or with a binder designed for this purpose until the injury can be more permanently stabilized.
To more securely stabilize the injury, especially if there are other serious injuries, doctors may attach a rigid metal frame to the pelvis, outside the body, using long screws inserted through the skin into the bones.
This device is called an external fixator. Once the injury is more stable, surgery is usually done to align the broken pieces of bone and to insert plates and screws to hold them in place called open reduction with internal fixation Surgery A fracture is a crack or break in a bone.
After the pelvis is stabilized, people are encouraged to walk as soon as possible. Sometimes the fracture is surgically repaired immediately, without use of an external fixator.
Embolization involves inserting a thin, flexible tube catheter into a blood vessel and threading it to the injured blood vessel. Tiny coils or a gel-like substance is inserted through the catheter into the bleeding blood vessels to block them and thus stop the bleeding.
Pelvic packing involves surgery to insert material around the damaged organs in the pelvis. This material absorbs the blood and puts pressure on blood vessels, which helps slow or stop the bleeding. Once the bleeding has stopped, usually days later, surgery is done to remove the packing and the pelvis is repaired surgically ORIF. Merck and Co. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
The Manual was first published in as a service to the community. Learn more about our commitment to Global Medical Knowledge. This site complies with the HONcode standard for trustworthy health information: verify here. Common Health Topics. Test your knowledge. Motion sickness includes symptoms, particularly nausea, that affect people while they ride in a moving object. You will need assistance getting to a medical facility. If you do not have an injury but begin to have groin pain that gets worse over time, make an appointment with your doctor.
Your doctor will almost always order an x-ray to confirm or refute the diagnosis of a pubic ramus fracture and determine the exact location and extent of the injury.
X-rays will show a pubic ramus fracture that was caused by an acute injury or an advanced chronic pubic ramus stress fracture. Because an x-ray may not detect a stress fracture in its early stages, athletes with chronic groin pain and normal x-rays will often be referred for a magnetic resonance imaging MRI scan.
Treatment for stable stress fractures or stable traumatic fractures of the pubic rami is non-surgical, focusing on reducing the weight bearing on the side of the fracture. Treatment may involve:. If you have a single fracture of the pubic ramus, surgery is rarely, if ever, needed. Surgery may be recommended in cases of multiple and unstable fractures, when several parts of the pelvis have broken due to a severe injury.
In these cases, pins and screws may be used to surgically stabilize the pelvis while it heals. These kinds of pelvic fractures are uncommon in sports-related injuries. With proper care, you can expect full recovery from a stress-related or traumatic pubic ramus fracture. Athletes can usually begin light weight bearing after four to six weeks, and then full weight bearing at two to three months. Once you can weight bear without pain, you can gradually return to your sport, guided by your doctor.
During your recovery, physical therapy can help you regain your hip flexibility, range of motion, strength, and endurance. This field may be seen by: Everyone Change. This field may be seen by: Everyone. Already have an account? Log in ».
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