PT  - JOURNAL ARTICLE
AU  - Steinitz, Daniel
AU  - Guy, Pierre
AU  - Passariello, Anna
AU  - Reindl, Rudolf
AU  - Harvey, Edward J.
TI  - All superior pubic ramus fractures are not created equal
DP  - 2004 Dec 01
TA  - Canadian Journal of Surgery
PG  - 422--425
VI  - 47
IP  - 6
4099  - http://canjsurg.ca/content/47/6/422.short
4100  - http://canjsurg.ca/content/47/6/422.full
SO  - CAN J SURG2004 Dec 01; 47
AB  - Objective: To assess whether patients with a fracture of the high superior pubic ramus have functional outcomes worse than those of the lower or more central superior pubic ramus.Method: We carried out a retrospective cohort study of all patients with pubic ramus fractures seen in either the emergency department or outpatient clinic of a level-1 trauma centre in Montréal. Patients were grouped according to their fracture location, determined from radiographs of the anteroposterior pelvis. Harris Hip Score and Musculoskeletal Functional Assessment questionnaire (short form) data were determined by an independent observer.Results: Both the hip score (p = 0.0024) and functional assessment (p = 0.0304) indicated that patients in the group with high superior fractures had significantly poorer functional status.Conclusion: High superior pubic ramus fractures have a poorer prognosis with respect to functional outcome.