Isik Mustafa, Subasi Mehmet, Cebesoy Oguz, Uludag Abuzer
University of Gaziantep, Gaziantep, Turkey.
BMJ Case Rep. 2013 Aug 21;2013:bcr2013200119. doi: 10.1136/bcr-2013-200119.
Sacral dislocation is an uncommon form of injury in childhood. A 4-year-old girl who was injured in a motor vehicle accident was seen in the emergency room. On physical examination, ecchymosis and tenderness in the abdomen and sacral region was identified. Radiographs revealed no pelvic pathology. CT was performed owing to the patient's sacral and abdominal tenderness. Dislocations were identified at the sacral third and fourth vertebrae without any fractures. The patient was discharged 10 days later with a recommendation for 6 weeks bed rest and an appointment for an outpatient follow-up examination. At the post-traumatic second-month examination, the patient was walking normally. In the radiograph and MRI that were taken a year later, the dislocation was observed to have fused completely, and no pressure was seen on any anatomical structure. No functional pathology was identified during the interview with the family.
骶骨脱位在儿童期是一种不常见的损伤形式。一名在机动车事故中受伤的4岁女孩被送往急诊室。体格检查发现腹部和骶骨区域有瘀斑和压痛。X线片未显示骨盆病变。由于患者骶骨和腹部压痛，进行了CT检查。发现骶骨第三和第四椎体脱位，无任何骨折。患者10天后出院，建议卧床休息6周，并预约门诊随访检查。在创伤后第二个月的检查中，患者行走正常。在一年后拍摄的X线片和MRI中，观察到脱位已完全融合，且未对任何解剖结构造成压迫。在与家属面谈时未发现功能障碍。
