İbrahim Alper YAVUZ, Tahsin AYDIN, Ahmet Özgür YİLDİRİM

AMELİYAT SIRASINDA PELVİK FİKSASYON SONRASI TANI KONABİLEN SAKROİLİAK SEPERASYON: OLGU SUNUMU VE LİTERATÜR TARAMASI

Sakroiliak eklem ayrılması, pelvik yaralanmalarda hayatı tehdit eden ciddi bir durumdur. Erken teşhis edilip uygun şekilde tedavi edilmelidir. Bu yaralanmalar çoğu zaman görüntüleme yöntemleri ile tespit edilebilse de bazı durumlarda teşhis konulamamaktadır. Bu olgu sunumunda, röntgen ve BT'de sakroiliak eklem tamamen normalken ve hastada pelvik hamak kullanılmamışken, ameliyat sırasında sakroiliak ayrılma saptanan nadir görülen bir pelvik yaralanma vakasını sunuyoruz.. Pelvik yaralanmalar, özellikle bağ yaralanmaları hem fizik muayenede, hem direkt radyografide hem de BT'de saptanamayabilir. Bu nedenle ortopedi cerrahları pelvik yaralanmaların tanı ve tedavisinin her aşamasında dikkatli ve şüpheci davranmalıdır.

Anahtar Kelimeler:

Sakroiliak seperasyon, İntraoperatif tanı, Pelvis kırıkları

SACROILIAC SEPARATION THAT CAN BE DIAGNOSED AFTER PELVIC FIXATION DURING SURGERY: A CASE REPORT AND REVIEW OF LITERATURE

Sacroiliac joint separation is a high-energy and serious pelvis injury. It must be diagnosed early and treated quickly. Although sacroiliac joint injuries can often be detected by imaging methods, in some cases the diagnosis cannot be made. We present a rare case of pelvic injury in which the sacroiliac joint was completely normal on X-ray and Computed Tomography and the patient was diagnosed with intraoperative sacroiliac separation, although a pelvic binder was not used. Pelvic injuries, especially ligament injuries, may not be detected both in physical examination and radiographic imaging methods. Therefore, orthopaedic surgeons should be careful and sceptical at every stage of the diagnosis and treatment of pelvic injuries.

Keywords:

Sacroiliac Separation, İntraoperative diagnosis, Pelvic fracture,

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