ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2014
Massive haemorrhage following minimally displaced pubic ramus fractures.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 27 citations in OpenAlex.
- Complications, Blood Transfusion Prediction, and Long-Term Survival in Elderly Patients with Pubic Rami Fractures.Clinical interventions in aging · 2025Article
- Hemorrhage in Pelvic Ring Fractures After Low-Energy Trauma: A Systematic Review.Journal of clinical medicine · 2024Review
- Evaluation of a treatment protocol based on conservative therapy for fragility fractures of the pelvis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Life-Threatening Bleeding Following a Stable Fracture of the Superior Pubic Ramus: A Case Report.Cureus · 2024Article
- Post-surgical pseudoaneurysm of the corona mortis artery treated by arterial embolization from two arteries: A case report.Radiology case reports · 2022Article
- Trends and efficacy of external emergency stabilization of pelvic ring fractures: results from the German Pelvic Trauma Registry.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Endovascular Management of Pelvic Trauma.Seminars in interventional radiology · 2021Review
- Frequency and Clinical Review of the Aberrant Obturator Artery: A Cadaveric Study.Diagnostics (Basel, Switzerland) · 2020Article
- Bleeding Risk Associated With Hemodynamically Stable Low-Energy Pelvic Fracture.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- Secondary Angio-Embolization After Emergent Pelvic Stabilization and Pelvic Packing Is a Safe Option for Patients With Persistent Hemorrhage From Unstable Pelvic Ring Injuries.Frontiers in surgery · 2020Article
- Importance of Both Internal and External Iliac Artery Interrogation in Pelvic Trauma as Evidenced by Hemorrhage from Bilateral Corona Mortis with Unilateral Aberrant Origin off the External Iliac Artery.Case reports in radiology · 2019Article
- Fragility fractures of the sacrum: how to identify and when to treat surgically?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2015Review
- The Influence of Pelvic Ramus Fracture on the Stability of Fixed Pelvic Complex Fracture.Computational and mathematical methods in medicine · 2015Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFractures of the pubic rami are the most frequent osteoporotic pelvic fracture. Although generally innocuous, epidemiologic research demonstrated a decreased survival in patients with pubic rami fractures compared to healthy controls. Sporadic cases of potentially lethal bleedings have been reported. The aim of this study was to report a consecutive series and review of the literature of patients with severe bleeding following minimally displaced pubic ramus fractures. MATERIALS AND
methodsWe report on four cases who presented at our emergency department in 2012 and 2013. A systematic review was performed to find other cases of pubic ramus fracture with severe bleeding from the literature.
resultsFour elderly patients presented with severe bleeding following os pubis fracture after trivial falls from ground level. Successful arterial embolisation was performed in two cases. These patients were discharged in good clinical condition. Two other patients were refrained from further treatment due to a pre-existing poor prognosis. Twenty-two additional cases were found in the literature. Successful arterial embolisation was performed in 20 cases, of whom 17 survived.
conclusionsSevere bleeding, mostly secondary to corona mortis avulsions, is a rare but potentially lethal complication of pubic ramus fractures. Physicians should be aware of this complication and actively look for symptoms of bleeding. Super-selective arterial embolisation seems safe and highly effective to control bleeding secondary to pubis rami fractures in elderly patients.
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