Persistent pain in the sacrum

Introduction Patellar fracture pain: After complaining of persistent pain in the humerus after trauma, it should be examined in detail. Clearly strip-shaped tenderness is mostly caused by fractures, and the fracture line can be judged along the direction of tenderness. Conductive ankle pain is lighter than lumbar fracture, especially in the standing position examination. The mechanism of patella fracture associated with pelvic fracture is consistent with pelvic fracture, mostly caused by simultaneous pelvic anterior compression. In the common combined injury, multiple pelvic fractures are caused by direct violence. The concomitant injury of the tibia fracture mainly involves the rectum and anus.

Cause

(1) Causes of the disease

Both direct violence and indirect violence cause this damage.

(two) pathogenesis

The mechanism of humeral fracture associated with pelvic fracture is consistent with pelvic fracture, mostly due to simultaneous pelvic anterior compression.

1. Direct violence: It is common to hit the ground when falling from a height, sliding down or rolling down, followed by being hit by a heavy object, or by a direct impact of a vehicle or the like.

2. Indirect violence: It is more common to transmit upwards from below (the distal end of the appendix), and there is very little chance of transmission from the top to the bottom; avulsion fractures may also be caused by ligament traction. Among the more common combined injuries, many of the pelvic fractures are caused by direct violence, and the common injuries of the tibia fractures mainly involve the rectum and anus.

an examination

Related inspection

Ankle joint examination bone and joint MRI examination

The clinical symptoms of tibiofibular fractures vary greatly depending on the degree of damage. The following points should be noted during the examination:

1. Pain: After complaining of persistent pain in the humerus after trauma, it should be examined in detail. Clearly strip-shaped tenderness is mostly caused by fractures, and the fracture line can be judged along the direction of tenderness. Conductive ankle pain is lighter than lumbar fracture, especially in the standing position examination.

2. Fear of sitting: When sitting, gravity directly acts on the appendix and causes pain. Therefore, the patient likes to take a seat when he comes to the doctor, or to sit on one side of the hip.

3. Subcutaneous congestion: Because the humerus is shallow, deep damage is easy to be exposed to the skin. Therefore, hematoma, subcutaneous congestion or skin contusion, abrasion, etc. at the fracture can be found during the physical examination.

4. Anal digital examination: According to the tender part, the displacement of the fracture and the presence or absence of bleeding, the anus can be diagnosed as a fracture line, whether there is obvious dislocation and whether it is an open fracture.

Differential diagnosis

The diagnosis should be differentiated from the following symptoms:

1. Tibial cyst: The bone cyst is a tumor-like lesion of the bone, also known as solitary bone cyst, simple bone cyst (simplebonecyst). The wall of the capsule is a fibrous envelope with a yellow or brown liquid inside the capsule.

2. humeral fissure: humeral fissure is a lumbosacral skeletal dysplasia, or congenital malformation, caused by incomplete closure of the spinal canal during embryonic period. During the development of the first and second sacral vertebrae, the initial ossification of both sides of the vertebral arch is incomplete, the lamina is not fused, but there is no spinal bulge, medically known as recessive cleft palate, also known as recessive spina bifida.

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