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Pelvic fractures

Pelvic fractures
Maintenance

The pelvis is made up of several bones, including the hipbones (ilium, ischium, pubis), sacrum and coccyx. These structures are interconnected to form the “pelvic ring”, the vital function of which is to ensure stability, transmit loads from the upper to the lower part of the body (and vice versa), and connect with the various muscles of the upper and lower extremities. Pelvic fractures refer to any fracture involving one or more bones of the pelvic girdle. Due to the high resilience of the pelvic ring, these injuries are usually caused by high-energy traumatic events in young, healthy populations, such as road accidents. For this reason, pelvic fractures are often associated with additional injuries to other body structures (vascular, visceral, neural, soft tissue, etc.). In older populations, or in subjects with specific pathologies that make bones more fragile (e.g. osteoporosis), pelvic girdle fractures can also occur during low-energy mechanisms, such as a fall. Pelvic fractures can result in very different symptomatology, depending on the injured district, the traumatic mechanism, associated lesions and the severity of the fracture. Patients generally present with localized or generalized pain (pain may radiate to other parts of the body).

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The management of patients with pelvic girdle fractures is highly dependent on the location of the injury, the specifics of the fracture itself, the presence of associated injuries and the characteristics of the patients affected by the fracture (e.g. age). Due to their high-energy injury mechanism, these injuries are usually part of a polytrauma (multiple injuries), with the priority of treatment being to stabilize the patient's general medical condition through a highly individualized treatment plan. In the case of the pelvis, fractures need to be stabilized, and several procedures can be performed. Rehabilitation can then begin. Some pelvic injuries (e.g. small, stable fractures that do not compromise body function) can be treated conservatively with rehabilitation. Whichever management strategy is implemented (surgical or conservative), rehabilitation is necessary to optimize results and minimize potential complications. At Foxphysio, your rehabilitation process will be structured in different stages and will take place in four different environments: the pool, the gym, the movement analysis and re-education room and the field. In the early stages, the main objectives are to restore homeostasis by reducing pain and swelling.