{
  "abstract": "Traumatic sacroiliac (SI) joint disruption is rare in young children and may lead to significant functional disability when diagnosis and treatment are delayed. Management is challenging due to the immature pelvis and the need to preserve growth potential. An 18-month-old girl, who had been walking independently before the injury, presented 3 months after sustaining trauma following a fall from a tractor. She had initially been managed conservatively at another hospital but continued to experience right lower-back pain and an inability to walk. Clinical examination revealed the right lower limb held in flexion, abduction, and external rotation, with restricted right hip movements and tenderness over the right SI joint. Radiographs and computed tomography demonstrated disruption of the right SI joint with anterior displacement of the right hemipelvis and associated pubic symphysis disruption. In view of the persistent displacement and significant functional impairment, delayed open reduction of the SI joint was performed using a Cobb elevator and a Schanz pin placed in the iliac crest to facilitate reduction. The reduction was stabilized using 3-mm Kirschner wires. Postoperatively, the child was maintained on non-weight-bearing status with bed exercises for 6 weeks, following which mobilization was initiated. The Kirschner wires were removed 3 months after surgery. Independent walking was regained 6 months postoperatively. At the latest follow-up, the child was able to walk independently and sit cross-legged comfortably. Follow-up radiographs demonstrated maintained SI-joint reduction without secondary displacement or loss of reduction. Carefully performed delayed open reduction can restore pelvic alignment and achieve satisfactory functional recovery in neglected pediatric SI-joint injuries. Long-term clinical and radiological surveillance is essential to monitor pelvic growth and identify potential complications.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopedic, Yashoda Hospital, Hyderabad, Telangana, India.",
    "Department of Orthopedic, Osmania General Hospital, Hyderabad, Telangana, India.",
    "Department of Orthopedic, Gandhi Hospital, Secunderabad, Hyderabad, Telangana, India."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Vishwanath Mahadevuni",
      "orcid": "0009-0001-6411-7377"
    },
    {
      "affs": [
        1
      ],
      "name": "P L Srinivas",
      "orcid": "0009-0001-9935-4065"
    },
    {
      "affs": [
        1
      ],
      "name": "L Ramesh",
      "orcid": "0009-0009-9174-0904"
    },
    {
      "affs": [
        2
      ],
      "name": "Pradeep Kumar A Sale",
      "orcid": "0009-0005-9368-9381"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4nnz79rzqr5d9.bib",
  "cited_by": 0,
  "doi": "10.13107/jocr.2026.v16.i11.8482",
  "fulltext_url": "https://europepmc.org/articles/PMC13740894",
  "id": "4nnz79rzqr5d9",
  "issns": [
    "2250-0685",
    "2321-3817"
  ],
  "landing_url": "https://europepmc.org/article/MED/42997065",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Pelvic and Acetabular Injuries"
    ]
  ],
  "openalex": "W7225585333",
  "pdf_url": "https://europepmc.org/articles/PMC13740894?pdf=render",
  "pmcid": "PMC13740894",
  "pmid": "42997065",
  "published": "2026-11-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/4nnz79rzqr5d9.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997065",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997065"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Pelvic and Acetabular Injuries",
      "subfield": "surgery"
    }
  ],
  "title": "Neglected Traumatic Sacroiliac Joint Disruption in a Young Child: Delayed Open Reduction and Functional Recovery.",
  "title_text": "Neglected Traumatic Sacroiliac Joint Disruption in a Young Child: Delayed Open Reduction and Functional Recovery.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/4nnz79rzqr5d9",
  "venue": "Journal of orthopaedic case reports",
  "versions": []
}