RESUMEN
Avulsion fractures of the pelvic apophyses are seen infrequently but they show a consistent pattern in mechanism, patient's age, symptoms, physical findings, and roentgenographic appearance. Some disagreement exists in the literature concerning the treatment of these fractures. This study indicates that early diagnosis and a carefully directed nonoperative treatment program will produce positive results for avulsion fractures of the pelvis. Twenty-seven cases of acute avulsion fracture of the pelvis were successfully treated in a directed nonoperative program.
Asunto(s)
Traumatismos en Atletas/terapia , Fracturas Óseas/terapia , Huesos Pélvicos/lesiones , Adolescente , Traumatismos en Atletas/diagnóstico , Diagnóstico Diferencial , Terapia por Ejercicio , Femenino , Fracturas Óseas/diagnóstico , Humanos , Masculino , Huesos Pélvicos/diagnóstico por imagen , Huesos Pélvicos/patología , Radiografía , DescansoRESUMEN
The authors have observed a series of patients with cervical monoradiculopathies due to extradural compressive disease in whom clinical signs included relief of radicular pain with abduction of the shoulder. Of 22 patients requiring myelography for unremitting radicular pain, 15 experienced relief of pain with shoulder abduction. Thirteen patients showing this sign required surgery and all achieved a good result. Two patients were relieved with additional conservative measures. Pain relief obtained with this maneuver seems to occur by decreasing tension on the nerve root. This shoulder abduction relief sign has not been commonly elicited in the past, and the authors wish to bring attention to its value as an indicator of significant cervical extradural radicular compressive disease.