Skip to main content

Advertisement

SpringerLink
Log in

The anterior dislocation of the sacroiliac joint: a report of four cases and review of the literature and treatment algorism

  • Trauma Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Pelvic fractures are an uncommon injury in pediatric trauma patients, but the morbidity and mortality associated with these injuries can be profound. Of the posterior pelvic ring disruptions, the posterior dislocation of sacroiliac joint, which is the traditional dislocation of the sacroiliac joint, occurs in most incidences of pediatric trauma patients. There are few reports, however, on the “anterior” dislocation of sacroiliac joint, in which the ilium dislocates anterior to the sacrum and often combines with symphyseal diastasis and fractures of pubic rami and ilia. The distinct fracture-dislocation of sacroiliac joint is a subtype of completed posterior pelvic fracture. Literature review contains little information about such type of dislocation. We present four cases of pediatric trauma patients with the “anterior” dislocation of sacroiliac joint. After a thorough literature review of existing classification of pelvic fractures, we name it as the anterior dislocation of sacroiliac joint.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Blake-Toker AM, Hawkins L, Nadalo L, Howard D, Arazoza A, Koonsman M, Dunn E (2001) CT guided percutaneous fixation of sacroiliac fractures in trauma patients. J Trauma 51:1117–1121. doi:10.1097/00005373-200112000-00017

    Article  PubMed  CAS  Google Scholar 

  2. Xue H, Li G, Wang T (2007) The united incisions in treatment of anterior dislocation of sacroiliac joint. J Shanxi Med Univ 38(4):342–343

    Google Scholar 

  3. Musemeche CA, Fischer RP, Cotler HB, Andrassy RJ (1987) Selective management of pediatric pelvic fractures: a conservative approach. J Pediatr Surg 22(6):538–540. doi:10.1016/S0022-3468(87)80216-6

    Article  PubMed  CAS  Google Scholar 

  4. Reichard SA, Helikson MA, Shorter N, White RI Jr, Shemeta DW, Haller JA Jr (1980) Pelvic fractures in children-review of 120 patients with a new look at general management. J Pediatr Surg 15(6):727–734. doi:10.1016/S0022-3468(80)80272-7

    Article  PubMed  CAS  Google Scholar 

  5. Rieger H, Brug E (1997) Fracture of the pelvis in children. Clin Orthop Relat Res 336:226–239. doi:10.1097/00003086-199703000-00031

    Article  PubMed  Google Scholar 

  6. Subasi M, Arslan H, Necmioglu S, Onen A, Ozen S, Kaya M (2004) Long-term outcomes of conservatively treated paediatric pelvic fractures. Injury 35(8):771–781. doi:10.1016/j.injury.2003.09.037

    Article  PubMed  Google Scholar 

  7. Atbhan D, Ates Y, Subasi M, Katirc T, Dindar N, Yildirm H (1996) Surgical treatment in unstable pelvic ring injuries. Hacettepe J Orthop Surg 6:150–154

    Google Scholar 

  8. Spiguel L, Glynn L, Liu D, Statter M (2006) Pediatric pelvic fractures: a marker for injury severity. Am Surg 72:481–484

    PubMed  Google Scholar 

  9. Silber JS, Flynn JM, Koffler KM, Dormans JP, Drummond DS (2001) Analysis of the cause, classification, and associated injuries of 166 consecutive pediatric pelvic fractures. J Pediatr Orthop 21:446–450. doi:10.1097/00004694-200107000-00006

    Article  PubMed  CAS  Google Scholar 

  10. Bircher M, Hargrove R (2004) Is it possible to classify open fractures of the pelvis? Eur J Trauma 30:74–79. doi:10.1007/s00068-004-1386-9

    Article  Google Scholar 

  11. Schmal H, Klemt C, Haag C, Bonnaire F (2002) Complex pelvic injury in children. Unfallchirurg 105:748–754. doi:10.1007/s00113-001-0401-4

    Article  PubMed  CAS  Google Scholar 

  12. Smith WR, Oakley M, Morgan SJ (2003) Pediatric pelvic fractures. J Pediatr Orthop 24:130–135

    Google Scholar 

  13. Vitale MG, Kessler MW, Choe JC, Hwang MW, Tolo VT, Skaggs DL (2005) Pelvic fractures in children. J Pediatr Orthop 25:581–587. doi:10.1097/01.bpo.0000175112.91122.41

    Article  PubMed  Google Scholar 

  14. Bond SJ, Gotschall CS, Eichelberger MR (1991) Predictors of abdominal injury in children with pelvic fracture. J Trauma 31:1169–1173. doi:10.1097/00005373-199131080-00019

    Article  PubMed  CAS  Google Scholar 

  15. Grisoni N, Connor S, Marsh E, Thompson GH, Cooperman DR, Blakemore LC (2002) Pelvic fractures in a pediatric level I trauma center. J Orthop Trauma 16:458–463. doi:10.1097/00005131-200208000-00003

    Article  PubMed  Google Scholar 

  16. Tile M (1988) Pelvic ring fractures: should they be fixed? J Bone Joint Surg Br 70(1):1–12

    PubMed  CAS  Google Scholar 

  17. Bucholz RW (1981) The pathological anatomy of Malgaigne fracture-dislocations of the pelvis. J Bone Joint Surg Am 63(3):400–404

    PubMed  CAS  Google Scholar 

  18. Letournel E (1980) Acetabulum fractures: classification and management. Clin Orthop Relat Res 151:81–106

    PubMed  Google Scholar 

  19. Pennel GF, Tile M, Waddell JP (1980) Pelvic disruption assessment and classification. Clin Orthop Relat Res 151:81

    Google Scholar 

  20. Tile M (2003) Describing the injury: classification of the pelvic ring injuries. In: Tile M, Helfet D, Kellam J (eds) Fracture of the pelvis and acetabulum, 3rd edn. Williams & Wilkins, Baltimore, pp 130–167

    Google Scholar 

  21. Young JWR, Burgess AR (1987) Radiological management of pelvic ring fracture. Urban & Schwarzenberg, Baltimore, pp 24–33

    Google Scholar 

  22. Burgess AR, Eastridge BJ, Young JW, Ellison TS, Ellison PS Jr, Poka A, Bathon GH, Brumback RJ (1990) Pelvic ring disruptions: effective classification system and treatment protocols. J Trauma 30(7):848–856. doi:10.1097/00005373-199007000-00015

    Article  PubMed  CAS  Google Scholar 

  23. Ruedi TP, Murhy WM (2000) AO principles of fracture management. Thieme, Stuttgart, pp 45–58

    Google Scholar 

  24. Resnick D, Goergen TH (1995) Physical injury: extraspinal sites. In: Resnick D (ed) Diagnosis of bone and joint disorders. WB Saunders Company, Philadelphia, pp 2693–2824

    Google Scholar 

  25. Jones AL, Powell JN, Kellam JF, McCormack RG, Dust W, Wimmer P (1997) Open pelvic fractures. A multicenter retrospective analysis. Orthop Clin North Am 28(3):345–350. doi:10.1016/S0030-5898(05)70293-5

    Article  PubMed  CAS  Google Scholar 

  26. Torode I, Zieg D (1985) Pelvic fractures in children. J Pediatr Orthop 5(1):76–84

    PubMed  CAS  Google Scholar 

  27. Lange RH, Webb LX, Mayo KA (1990) Efficacy of the anterior approach for fixation of sacroiliac dislocations and fracture-dislocations. J Orthop Trauma 4:220–221. doi:10.1097/00005131-199004020-00048 Abstract

    Article  Google Scholar 

  28. Xu S (2005) Fracture of the pelvis. In: Shaoding Xu, Baofeng Ge, Yinkan Xu (eds) The practical Orthopaedics and traumatology. People’s Military Medical Press, Beijing, pp 651–654

    Google Scholar 

  29. No authors listed (1996) Fracture and dislocation compendium. Orthopaedic Trauma Association Committee for Coding and Classification. J Orthop Trauma 10(Suppl 1):v–ix, 1–154

    Google Scholar 

  30. Nierenberg G, Volpin G, Bialik V, Stein H (1993) Pelvic fractures in children: a follow-up in 20 children treated conservatively. J Pediatr Orthop 1:140–142

    Google Scholar 

  31. Canela ST, Beaty JH (1996) Pelvic and hip fractures in children. In: Rockwood CA, Wilkins KE, Beaty JH (eds) Fractures in children. Lippincott-Raven, Philadelphia, pp 991–1102

    Google Scholar 

  32. Smith W, Shurnas P, Morgan S, Agudelo J, Luszko G, Knox EC, Georgopoulos G (2005) Clinical outcomes of unstable pelvic fractures in skeletally immature patients. J Bone Joint Surg Am 87(11):2423–2431. doi:10.2106/JBJS.C.01244v

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study receives no financial support.

Conflict of interest statement

All authors have read and contributed to the submitted manuscript and there is no conflict of interest among the authors.

Author information

Authors and Affiliations

  1. Department of Orthopaedics, 3rd Hospital, Hebei Medical University, Shijiazhuang, 050051, Hebei, People’s Republic of China

    Qi Zhang, Wei Chen, Yanling Su, Jinshe Pan & Yingze Zhang

  2. Department of Radiology, 2ed Hospital, Hebei Medical University, Shijiazhuang, 050051, Hebei, People’s Republic of China

    Huaijun Liu

Authors
  1. Qi Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Wei Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Huaijun Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yanling Su
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jinshe Pan
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yingze Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yingze Zhang.

Additional information

Q. Zhang and W. Chen contributed equally to this work.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zhang, Q., Chen, W., Liu, H. et al. The anterior dislocation of the sacroiliac joint: a report of four cases and review of the literature and treatment algorism. Arch Orthop Trauma Surg 129, 941–947 (2009). https://doi.org/10.1007/s00402-009-0853-5

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-009-0853-5

Keywords

Search

Navigation