U-shaped sacral fracture: an easily missed fracture with high morbidity. A report of two cases

U-shaped sacral fracture is a very rare injury. This injury is easily missed and the diagnosis is often delayed as it is difficult to detect on the anteroposterior view of the pelvic radiograph. It is highly unstable and neurological injury is common. Two cases of U-shaped sacral fractures are repor...

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Main Authors: Hussin, P., Chan, C.Y.W., Saw, L.B., Kwan, M.K.
Format: Article
Published: 2009
Subjects:
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author Hussin, P.
Chan, C.Y.W.
Saw, L.B.
Kwan, M.K.
author_facet Hussin, P.
Chan, C.Y.W.
Saw, L.B.
Kwan, M.K.
author_sort Hussin, P.
collection UM
description U-shaped sacral fracture is a very rare injury. This injury is easily missed and the diagnosis is often delayed as it is difficult to detect on the anteroposterior view of the pelvic radiograph. It is highly unstable and neurological injury is common. Two cases of U-shaped sacral fractures are reported here in which the diagnosis was delayed resulting in the late development of cauda equina syndrome. In these two cases, full recoveries were achieved following surgical decompression. A high index of suspicion with proper clinical and radiographic assessments will decrease the incidence of missed diagnosis and prevent the occurrence of delayed neurological deficits.
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spelling um.eprints-110762014-10-13T01:08:23Z http://eprints.um.edu.my/11076/ U-shaped sacral fracture: an easily missed fracture with high morbidity. A report of two cases Hussin, P. Chan, C.Y.W. Saw, L.B. Kwan, M.K. R Medicine U-shaped sacral fracture is a very rare injury. This injury is easily missed and the diagnosis is often delayed as it is difficult to detect on the anteroposterior view of the pelvic radiograph. It is highly unstable and neurological injury is common. Two cases of U-shaped sacral fractures are reported here in which the diagnosis was delayed resulting in the late development of cauda equina syndrome. In these two cases, full recoveries were achieved following surgical decompression. A high index of suspicion with proper clinical and radiographic assessments will decrease the incidence of missed diagnosis and prevent the occurrence of delayed neurological deficits. 2009 Article PeerReviewed Hussin, P. and Chan, C.Y.W. and Saw, L.B. and Kwan, M.K. (2009) U-shaped sacral fracture: an easily missed fracture with high morbidity. A report of two cases. Emergency Medicine Journal, 26 (9). pp. 677-678. ISSN 1472-0205,
spellingShingle R Medicine
Hussin, P.
Chan, C.Y.W.
Saw, L.B.
Kwan, M.K.
U-shaped sacral fracture: an easily missed fracture with high morbidity. A report of two cases
title U-shaped sacral fracture: an easily missed fracture with high morbidity. A report of two cases
title_full U-shaped sacral fracture: an easily missed fracture with high morbidity. A report of two cases
title_fullStr U-shaped sacral fracture: an easily missed fracture with high morbidity. A report of two cases
title_full_unstemmed U-shaped sacral fracture: an easily missed fracture with high morbidity. A report of two cases
title_short U-shaped sacral fracture: an easily missed fracture with high morbidity. A report of two cases
title_sort u shaped sacral fracture an easily missed fracture with high morbidity a report of two cases
topic R Medicine
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AT sawlb ushapedsacralfractureaneasilymissedfracturewithhighmorbidityareportoftwocases
AT kwanmk ushapedsacralfractureaneasilymissedfracturewithhighmorbidityareportoftwocases