Vertical shear injuries: is there a relationship between residual displacement and functional outcome?

J V Nepola; S W Trenhaile; M A Miranda; S L Butterfield; D C Fredericks; B L Riemer

doi:10.1097/00005373-199906000-00007

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Journal article

Vertical shear injuries: is there a relationship between residual displacement and functional outcome?

J V Nepola, S W Trenhaile, M A Miranda, S L Butterfield, D C Fredericks and B L Riemer

The journal of trauma, Vol.46(6), pp.1024-9; discussion 1029-30

06/1999

DOI: 10.1097/00005373-199906000-00007

PMID: 10372618

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Abstract

Residual vertical displacement is often cited as being related to poor outcome in patients with pelvic injuries. This study attempts to clarify the relationship between residual vertical displacement and functional outcome. From 1982 to 1989, over 500 patients with pelvic ring injuries were treated at two Level I trauma centers. Thirty-three patients with vertical shear (Tile C) fractures and residual displacement (2-52 mm) were evaluated. Outcomes were quantified by using SF-36 Short-Form Health Survey (SF-36) and the Iowa Pelvic Score (IPS). There was no correlation between IPS or SF-36 scales and residual vertical displacement. The IPS correlated (p<0.05) with seven of eight SF-36 categories, excluding mental health. Patients reporting limp and leg length discrepancy also correlated with the IPS and select SF-36. Pelvic injuries showed no correlation between functional outcome and residual vertical displacement suggesting other factors. The degree of residual vertical displacement does not affect functional outcome.

Pelvic Bones - injuries

Humans

Middle Aged

Adolescent

Fractures, Bone - complications

Fractures, Bone - physiopathology

Adult

Female

Male

Treatment Outcome

Aged

Fractures, Bone - therapy

Details

Title: Subtitle: Vertical shear injuries: is there a relationship between residual displacement and functional outcome?
Creators: J V Nepola - University of Iowa College of Medicine, Department of Orthopaedics, Iowa City 52242, USA. james-nepola@uiowa.edu
S W Trenhaile
M A Miranda
S L Butterfield
D C Fredericks
B L Riemer
Resource Type: Journal article
Publication Details: The journal of trauma, Vol.46(6), pp.1024-9; discussion 1029-30
DOI: 10.1097/00005373-199906000-00007
PMID: 10372618
NLM abbreviation: J Trauma
ISSN: 0022-5282
eISSN: 1529-8809
Publisher: United States
Language: English
Date published: 06/1999
Academic Unit: Orthopedics and Rehabilitation; Craniofacial Anomalies Research Center
Record Identifier: 9984040550802771

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