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- Superior Pubic Ramus
- All superior pubic ramus fractures are not created equal
Our knowledge of orthopaedics. Your best health.
Fortunately, a majority of pelvis fractures are minor, and while painful, do not require any surgery. The anatomy of Superior and Inferior Pubic Rami: This is the.and can what
The superior pubic ramus connects with the ilium along with ischium at its base, which is located toward the acetabulum and protrudes posterolaterally from the body. The sharp superior border of triangular surface creates part of the linea terminalis of the pelvic bone as well as the pelvic inlet and is called the pectineal line a. Anteriorly, the pubic crest is constant with pectineal line and is also a portion of the linea terminalis and pelvic inlet. The obturator groove exhibits the inferior surface of the superior pubic ramus, and also creates the upper border of the obturator canal. It spreads out from the body of pubis towards the acetabulum over the obturator foramen. It has three borders that are pectineal line , obturator crest , and inferior border. The pectineal line which is also called pecten pubis ranges from pubic tubercle towards the iliopubic eminence.
The pelvis is the sturdy ring of bones located at the base of the spine. Most pelvic fractures are caused by some type of traumatic, high-energy event, such as a car collision. Because the pelvis is in proximity to major blood vessels and organs, pelvic fractures may cause extensive bleeding and other injuries that require urgent treatment. In some cases, a lower-impact event—such as a minor fall—may be enough to cause a pelvic fracture in an older person who has weaker bones. Treatment for a pelvic fracture varies depending on the severity of the injury. While lower-energy fractures can often be managed with conservative care, treatment for high-energy pelvic fractures usually involves surgery to reconstruct the pelvis and restore stability so that patients can resume their daily activities. The pelvis is a ring of bones located at the lower end of the trunk—between the spine and the legs.
Symptoms and Signs to look our for if you think you might have a fractured pubic rami. A fractured pubic rami is a break to the bones that form part of the pelvis. This can be a serious injury, especially in the elderly. Fractured pubic rami injuries typically take between 4 and 6 weeks to heal, although recovery time can be longer for severe fractures. Fractured pubic rami. The pubic ramus is the name for the superior ramus and the inferior ramus, the two components that form the pelvis.
The inferior pubic ramus is a part of the pelvis and is thin and flat. It passes laterally and downward from the medial end of the superior ramus ; it becomes narrower as it descends and joins with the inferior ramus of the ischium below the obturator foramen. Its anterior surface is rough, for the origin of muscles—the Gracilis along its medial border, a portion of the Obturator externus where it enters into the formation of the obturator foramen , and between these two, the Adductores brevis and magnus, the former being the more medial. The posterior surface is smooth, and gives origin to the Obturator internus , and, close to the medial margin, to the Constrictor urethrae. In the female pelvis, the medial border is thick, rough, and everted, and presents two ridges, separated by an intervening space. The ridges extend downwards, and are continuous with similar ridges on the inferior ramus of the ischium ;. The lateral border is thin and sharp, forms part of the circumference of the obturator foramen , and gives attachment to the obturator membrane.
The pelvis has many parts. Fortunately, a majority of pelvis fractures are minor, and while painful, do not require any surgery. The anatomy of the pelvis is diagrammed below:. The pelvis is like a pretzel, it is impossible to break the pelvis in one location without suffering a break fracture in a second location. Knowing this, when one fracture is seen, careful inspection is undertaken to look for a second fracture.
Superior Pubic Ramus
A pelvic fracture is a break of the bony structure of the pelvis. Common causes include falls , motor vehicle collisions , a pedestrian being hit by a vehicle, or a direct crush injury. - Language: English French.
All superior pubic ramus fractures are not created equal
Fracture of the right superior and inferior pubic rami and the right sacral ala. The pubic symphysis and sacroiliac joints remain normally aligned. There is also buckling of the anterior cortex of the right sacral ala lateral to the sacral foramina consistent with a sacral fracture in Dennis zone 1. Combination of the pubic rami and sacral ala fracture is consistent with a vertical shear mechanism also known as Malgaigne fracture. There is a small volume of pre-sacral hemorrhage seen in association with the sacral fracture.