MEDICINE REHABILITATION SECTION
AFTER SURGICALLY TREATED COMPLEX ACETABULAR FRACTURES IN ATHLETES
Sports Academy “Vassil Levski” – Sofia,
The dislocated acetabular
fractures are often occurred traumas in motoring, parachutism, hang
gliding and other highly-energetic sports. The only thing left to do is
the surgical stabilization which has been improving for the last years
but the problem with pelvis tilt is in fact.
THE PURPOSE OF
THE STUDY is to trace the physiotherapy approach to restore the
pelvis’ tilt after surgical treated complex acetabular
fractures in athletes.
Material and method. From February
2000 until July 2008 were treated 29 patients after dislocated complex
acetabular fractures in multiple traumas. The surgical stabilization as
a limited invasive method was implemented by A. Iotov (2001).
Relaxation of m. quadratus lumborum and reactivation of the abdominal
muscles was a base of controlling the pelvis’ tilt in supine,
side and standing positions.
RESULTS. The pain intensity was
with average 8, 7 level and regressed to 3, 6 after two weeks. The
differences in the levels of the both anterior superior iliac spines in
all patients have been eliminating for three weeks. The results of the
static endurance test showed reduction of the abdominal muscles
inhibition. M. quadratus lumborum was shortness in contrast to flexors.
Palpation and specific test after three weeks demonstrated abasement of
its tonus and to reach the balance with abdominal muscles.
The adequate recovery of the athletes after surgical stabilized
dislocated complex acetabular fractures in multiple traumas is needed
to control of the pelvis’ tilt in the early phase of the
Key words: acetabular
pelvis’ tilt, physiotherapy.