骶骨骨折2（Sacral fractures 2）.docVIP

骶骨骨折2（Sacral fractures 2） Sacral fracture locking This entry is provided by the health and Family Planning Commission, clinicians, science popularization programs / encyclopedia medical network, and participates in the editorial work Wang Pei (chief physician) Department of orthopedics General Hospital Affiliated to Tianjin Medical University Sacral fractures can occur singly, and can occur simultaneously with pelvic injuries. The former is rare, and the latter accounts for 30% to 40% of the pelvic fractures. Therefore, the absolute incidence is higher than that of the single fracture, and is more common in males. The treatment is also complicated and requires simultaneous treatment with pelvic fractures. Catalog 1 etiology 2 clinical manifestation 3 check 4 diagnosis 5 treatment 1 etiology Direct violence and indirect violence contribute to this injury. 1. direct violence When falling, slipping or rolling down, the sacrum falls to the ground; secondly, it is hit by a heavy object or caused by a direct impact of a vehicle. 2. indirect violence More violence is seen from the lower part (caudal caudal vertebra) upward, but there is little chance of violence from top to bottom, and avulsion fractures can also be caused by ligament pulling. The combined injuries are mostly caused by pelvic fractures, mostly caused by direct violence, while the major complications of sacral fractures involve the rectum, anus and sacral nerves. 2 clinical manifestation Depending on the extent of the damage, the clinical symptoms of sacral fractures vary greatly, so we should pay attention to the following points during the examination: 1. pain Patients with persistent pain of the sacrum after trauma should be examined in detail. The clear strip tenderness is mostly caused by fracture, and the fracture line can be determined along the direction of tenderness. Conduction pain is lighter than lumbar fracture, especially during standing examination. 2. sit in fear When seated, the gravity act