Executive Editor: Peter Trafton

Pelvic ring - A1

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Glossary

General considerations

Avulsion fractures of the innominate bone are due to resisted contractions of attached muscles. They involve the iliac spines, or the ischial tuberosity. If large or significantly displaced, repair is occasionally indicated, however most can be managed nonoperatively.

Nonoperative
Main indication Skill Equipment
Acceptable displacement Basic surgical experience, no specialized skills Basic equipment only

Indications

  • Apophyseal avulsion fractures, closed, without gross displacement or significant functional limitations
ORIF; apophyseal avulsion fracture
Main indication Skill Equipment
Gross displacement Some specialized surgical experience Basic equipment only

Indications

  • Significant displacements (> approx. 2 cm)
  • High demand patients (active athletes)
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2015-12-10