Pubic Rami Fractures | What are they? How do you treat them?

In this tutorial we take you through the anatomy of the pelvis using our 3D anatomy model and discuss the features and management approach of stable and unstable pubic rami fractures.
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[@eliasmash1196]

short and well organised.Good work @ clinical physio

[@ClinicalPhysio]

Thank you so much! 🙏🏼

[@jimboniusmaximus6018]

Sir, you are awesome. Thank you so much for this content. I love your presentation and demeanor.

[@ClinicalPhysio]

Thank you so much my friend! Very grateful that you are watching!

[@rakeshraj5324]

Dear sir -Mildly displaced fracture of left ischial tuberosity and left inferior pubic ramus noted. So plz help me for tertment

[@ahmedalmhab5890]

Lateral part of superior pubic ramus form which following structure?

[@pethrineawatson289]

Great job explaining...

[@ClinicalPhysio]

Thank you so much! Hope you enjoyed it

[@mukeshmistry-oz4jm]

Sir i have fracture of bilateral superior pubic rami ... i can walk normally and i can setting??

[@kennethkosietukokwu4409]

I have a dislocated overlapped pubis symphysis and a chartered rimi.. difficulties sitting and carrying objects..low back pain..I need help

[@newportwellness367]

Thank-you! My husband is presenting with this fracture. I thought he had a groin pull or inguinal hernia.

[@ClinicalPhysio]

Sorry to hear that - wishing you both all the best 🙏🏼

[@Hinssss]

Hii Sir, can you talk about radial head fracture plzz? thanks so much!!! Reli enjoy your vid as they reli help in my studies!!! 😭

[@ClinicalPhysio]

Thank you so much! Will add this to the list!

[@_theplantkiller]

I had an incredible recovery after breaking my pelvis in 7 places almost 8 years ago (amongst many other bones in my body). I was already in great health and 28 years old at the time. With those factors and continuing to eat very clean, patiently practicing yoga, and maintaining a heart full of gratitude for every bit of progress, I recovered incredibly! I don’t squat as much as I did before, but I hike, bike, and manage my farm with plenty of stamina and no pain. So thankful! Doctor, I do have a question for you though. With a screw in the superior pubic ramus, is it possible and even likely to give birth to a child vaginally and naturally? I’ve received the opinion from one of my surgeons 8 years ago, but would also like to hear your opinion. Thanks!

[@ruhulmondal8894]

Without surgery?

[@_theplantkiller]

@@ruhulmondal8894 i had surgeries. And still have one remaining screw in the superior pubic ramus.

[@rvcool2646]

Hi did you feel hip stiffness when you start seating after the surgery? Cause I'm feeling it i had acetabulum frecture nd after 40 days my dr allowed me to walk with walker nd seat on chair

[@_theplantkiller]

@@rvcool2646 i couldn’t sit for a while after the surgery. I was in a hospital bed for 7 weeks. All my flexibility was lost so I had to do a lot of physical therapy and still do plenty of stretching and yoga to this day 8 years later and am probably at 60 percent of my flexibility and I’m cool with that because I’m active 👐

[@hansrajjangra6958]

Sir I need your help I just want to show you my mother ct scan report please tell me how can i send you

[@heronfields5923]

It seriously hurts in this area. I run about 9 miles every morning. I was finishing up running one morning, I felt a sharp pain in this area. after I had to suddenly stopped for 7 days after a 30 day streak. By the 7th day the pain was all gone. I succeeded on my first attempt back after a week (6miles) that’s all I was able to run, As the run progressed, the pain grew more, I was in terrible, unbearable pain. it gets too tight. I can't loosen it. My left leg seemed to get shorter with each stride. I can kind of feel me hobbling around the track, my engine had even more power but I was forced to stop It's not so much the pain thing, but the limited movement in my leg

[@shrutishobhane5516]

Are u fine now ?

[@ktaurus510]

I had a bilateral pubic rami stress fracture in the army in 1990. It was misdiagnosed as a pulled hamstring for six months until a bone scan was done. I STILL have pain and it’s getting worse. Unfortunately, no one has any idea of what to do.

[@evelyns3201]

Oh my goodness. I had the same misdiagnosis, and it's been 4 years. Pain is not resolving although I've been managing the pain with a very good physical therapist. Unfortunately, it seems there might be some cervical nerve-related/nerve entrapment issues. I wanted to share this to possibly help with your pain. Perhaps you can find a doctor that can perform a nerve study of the sacral nerves (below the lumbar) and see how they're doing. I have a lot of leg, ankle and even knee symptoms that have progressed. Also, as a result of my injury (horse riding fall), I've been diagnosed with Si Joint dysfunction and was told to wear a SI Joint brace which should help with any instability issues for now. Best of luck to you.

[@ktaurus510]

@@evelyns3201 Thank you! I’m glad that the therapy has been helping. Unfortunately, because this happened 33 years ago, and my knee issues were just diagnosed in 2017, it’s all become a conglomerate of sorts (bilateral pubic rami stress fracture has lead to bilateral knee osteoarthritis, which has lead to bilateral hip tears in my Labrums, which as lead to lumbar degeneration). I’m actually in Acupuncture, which has eased the pain.

[@steenystuff1075]

How do you treat someone with shattered rami bones? And how do they avoid gaining weight from the the various medications given to counter pain, etc? How do these patients exercise without causing themselves agony?

[@_theplantkiller]

You don’t gain weight from the medications. You gain weight from eating poorly during recovery which in turns slows down healing. And you exercise little by little learning to listen to your body very closely but still challenging it to gain strength and mobility back. I know these things from direct experience with my own shattered pelvis. Also, I have to admit that having a good surgeon is a big factor. Very thankful to say I had amazing ones.

[@senne5868]

i broke my inferior ramus, luckly there was only one fracture! any tips for recovery?

[@rvcool2646]

How are you now

[@bobidderis3880]

I was involved in a road traffic accident. Suffered open book pelvic fracture. Broke my rami. Split my SI joint and my inside tendons inside my pelvic harden. Now I got pain in my left buttocks when walking or twisting my hip while standing. I don't know why. I got symphysis pubis too.

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼 wish you strength Bob

[@hayaanmedia2272]

Iam 22 years old last month i was broken my left inferior pubic ramus, but i have problem sleep, how to solve this problem

[@PoojaKumari-er1iz]

Same thing

[@jyotiprincessqueen..9077]

Are u good dear plz tell🙏🙏me same thing on me

[@rvcool2646]

@@PoojaKumari-er1iz are you OK now? I'm feeling the same it's my second month after surgery

[@rvcool2646]

@@jyotiprincessqueen..9077 are you OK now? Cause i m feeling the same its my second month after surgery

[@jyotiprincessqueen..9077]

dear mera thik nhi hua hain avi tk mujhe dr ne bedrest kha tha koi surgery wagera nhi hua.. but proper thik nhi hua abi tk

[@rahulshah7838]

Sir 20 days ago I slipped from roof and I got superior and inferior Rami fracture, doctor is saying you have to rest on bed for 6 weeks. Sir please tell me how to I sleep on bed and seat properly for speedy recovery. And when would I able to sit on chair. And please make a second video for diet and food and posture for recovery. Thank you Love from India

[@LAO26]

This is my situation now. I was in a car accident and sustained fractures in my inferior and superior Rami pubic. I'm really worried about sitting, standing up to bath and use the restroom because I was asked to stay on absolute bed rest for 6 weeks. I would be glad for information on how to move around.

[@jyotiprincessqueen..9077]

Aapka thik hua plz reply brother..plz🙏🙏🙏

[@renugahghandi6916]

​@@LAO26Hello there. Currently I'm also facing the same problem like you. U have posted this comment five months ago. Surely u have see the improvement from your bone. Can you kindly share with me on how you take care of your bone and how long it takes to recover??

[@LAO26]

Hello @@renugahghandi6916So sorry about your circumstance. I moved around with crutches for 2 months and started walking without them in January. Although I still feel intense pain when I walk some distances. I had another x-ray 3 days ago and while the top fracture part healed properly, the lower part still needs time. I would recommend you use walking aid to move around and not put any weight on the leg.

[@renugahghandi6916]

@@LAO26 thank you so much sis.

[@IVORY123100]

I am an absolute train wreck . Went to work " Carpenter " and fell 6' and landed on my butt/back .Intense surge of pain . But carpenters are supposed to shrug it off and get back to work . The pain has gotten so intense that I am pretty.sure it's some type of pelvic fracture . Had to quit my job . Years before I fell 30' and snapped my femoral head . Had surgery and they bolted my hip together and told me in five years you won't walk without a hip replacement . Avascular Necrosis . But I shrug the pain and 20 years later . In 2018 something else wasn't looking good . My thumb was turning black.. Drs told me It was a fungal infection . I shrugged off the pain . I googled and looked up KZbin videos like this .I asked if this was melanoma . No . Don't Google . . Turned out to be Melanoma . Turned out to be the hot and spicy version . Stage 4 Melanoma . Amputation . I just can't get a break

[@mmedeuxchevaux]

my heart goes out to you. how are you doing today?

[@mmedeuxchevaux]

I just fractured my pubic ramus a couple days. my pain is excruciating when i bear weight on my leg. it takes about 4 or 5 minutes to get in bed and pivot my body to lie down. I've yet to see anyone but an ER doctor. I hope that the pain subsides enough so that I'm not almost completely bed bound. Might anyone know the timeline of recovery?

[@ClinicalPhysio]

I’m so sorry to hear that but I’m sure things will improve. Hope you have another appointment soon and that you have the chance to ask all the questions and get the advice you need 🙏🏼

[@strat23egy50]

I got ran off the road on my motorcycle and hit a curb flew like in the air like an bird and fracture my left superior and inferior pubic rami and it hurts a lot. I don't need surgery because it staple but people these are the worst injuries in the world to humans. It has so much to do with walking, pooping, bending, standing, and stretching.

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼 wishing you all the best in your recovery!

[@claudial.9353]

Currently have a fractured sacrum. Doctor only wants me in wheelchair or bed, have 6 weeks to see if healing is happening if not I will need surgery and I really hope I don’t need surgery. I think my fracture is stable

[@ClinicalPhysio]

Wishing you all the best Claudia 🙏🏼

[@Becky-yg3sr]

It's been years for me but I'm sure they missed something big still having trouble walking