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Pelvic fractures can be simple or complex and can involve any part of the bony pelvis. Pelvic fractures can be fatal due to pelvic hemorrhage, and an unstable pelvis requires immediate management.
Pelvic fractures are a heterogeneous group of injuries that can occur secondary to a variety of mechanisms that range from an innocuous simple fall to severe high-energy trauma in a road traffic collision.
The pelvis radiograph is comprised of the innominate hip bones or os coxae (ischium, pubis and ilium), the sacrum and the proximal femur. Much of the interpretation is down to regions, rings and lines alongside an understanding of traumatic fracture patterns of the pelvic ring.
The Young and Burgess classification is a modification of the earlier Tile classification 1. It is the recommended 5 and most widely used classification system for pelvic ring fractures. It takes into account force type, severity, and direction, as well as injury instability.
Open book pelvic injuries are most often the result of high-energy trauma and are associated with significant morbidity and mortality due to associated vascular injuries.
The Tile classification of pelvic fractures is the precursor of the more contemporary Young and Burgess classification of pelvic ring fractures. It takes into account stability, force direction, and pathoanatomy.
Pelvic insufficiency fractures are a relatively common subtype of insufficiency fracture, and are recognized as a major cause of low back, buttock and groin pain in susceptible populations.
Malgaigne fracture is an unstable type of pelvic fracture, which involves one hemipelvis, and results from vertical shear energy vectors.
Apophyseal avulsion fractures of the pelvis and hip are relatively common among physically active adolescents and young adults.
28 times, by 17 contributors -. Pelvic fracture. Pelvic fractures can be simple or complex and can involve any part of the bony pelvis. Pelvic fractures can be fatal due to pelvic haemorrhage, and an unstable pelvis requires immediate management.