PMID: 8970552Dec 1, 1996Paper

Pelvic trauma imaging: a blinded comparison of computed tomography and roentgenograms

The Journal of Trauma
E E BergR M Bell

Abstract

To determine the sensitivity for detecting pelvic pathology and instability, roentgenograms and computed tomographic (CT) scans from 59 patients with pelvic injuries that had been admitted to a Level I trauma center were randomly reviewed by a orthopedic surgeon blinded to the study. Normal control roentgenograms and CT scans were included to decrease observer bias. The anteroposterior (AP) roentgenogram detected 66% of all pelvic injuries, 78% of those involving the anterior ring, and 53% of those involving the posterior pelvic ring. The trauma CT scan, 10-mm axial images of the abdomen and pelvis, detected 86% of all pelvic injuries, and 78% of anterior ring and 93% of posterior ring injuries. The sensitivity for detecting pelvic instability from one plain film AP pelvis roentgenogram taken in a trauma room setting was 74%. Inlet and outlet views were 75% sensitive. Trauma CT scans were 93% sensitive and high-definition pelvic CT scans (5-mm pelvic cuts) yielded 100% sensitivity. The mechanism of injury could be ascertained with 73% sensitivity by plain films and with 79% sensitivity by inlet and outlet views; trauma CT scans were 96% and high-definition pelvic CT scans were 100% sensitive. When combined, the AP pelvis roentg...Continue Reading

References

Jan 1, 1988·The Journal of Bone and Joint Surgery. British Volume·M Tile

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Citations

Feb 24, 2016·Journal of Orthopaedic Surgery and Research·Adham A Abdelfattah, Berton R Moed
Dec 13, 2002·The Journal of Trauma·Oscar D GuillamondeguiC William Schwab
Oct 25, 2006·The American Surgeon·Amal Kamil ObaidMarianne Cinat
May 8, 2008·International Orthopaedics·C PapakostidisP V Giannoudis
Jan 12, 2007·The Journal of Trauma·Gordon G WisbachStephen S Kaminski
Jun 20, 2012·The Journal of Trauma and Acute Care Surgery·Amir H NejadTania A Ferguson
Dec 15, 2015·International Anesthesiology Clinics·Kristin OliveiraLinda L Maerz
Feb 29, 2020·Der Radiologe·Thomas Grieser
May 18, 2013·Journal of Orthopaedic Trauma·Lukas M NystromJ Lawrence Marsh
Feb 17, 2011·Journal of Perioperative Practice·Mukai Chimutengwende-GordonNimalan Maruthainar
Apr 23, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Tomoki WadaMuneaki Ishijima
Jun 2, 2007·Journal de radiologie·F PilleulB Allaouchiche

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