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J Bone Joint Surg Br. 2009 Sep;91(9):1208-12. doi: 10.1302/0301-620X.91B9.22222.

Lateral compression fractures of the superior pubic ramus with intra-articular extension.

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Hôpital du Sacre-Coeur de Montreal, 5400 Gouin Ouest, Room C-2080, Montreal, Quebec H4J 1C5, Canada.


A total of 30 patients with lateral compression fractures of the pelvis with intra-articular extension into the anterior column were followed for a mean of 4.2 years (2 to 6), using the validated functional outcome tools of the musculoskeletal function assessment and the short-form health survey (SF-36). The functional outcome was compared with that of a series of patients who had sustained type-B1 and type-C pelvic fractures. The lateral-compression group included 20 men and ten women with a mean age of 42.7 years (13 to 84) at the time of injury. Functional deficits were noted for the mental component summary score (p = 0.008) and in the social function domain (p < 0.05) of the SF-36. There was no evidence of degenerative arthritis in the lateral-compression group. However, they had high functional morbidity including greater emotional and psychological distress.

[Indexed for MEDLINE]

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