What are the patterns of injury and displacement seen in lateral compression pelvic fractures?

Clinical Orthopaedics and Related Research
Michael J WeaverMark S Vrahas

Abstract

Lateral compression (LC)-type pelvic fractures encompass a wide spectrum of injuries. Current classification systems are poorly suited to help guide treatment and do not adequately describe the wide range of injuries seen in clinical practice. We therefore (1) defined the spectrum of injuries that compose LC fractures with respect to both anterior and posterior ring injuries, with particular focus on the morphology of sacral fractures, and (2) identified fracture patterns associated with displacement at presentation. We retrospectively reviewed 318 LC pelvic fractures. Displacement of the anterior pelvic ring was identified and measured on plain radiographs and posterior displacement was identified by CT. All 318 patients had an anterior injury and all but 13 (4%) had a posterior injury; 263 of the 318 fractures (87%) included a sacral fracture, with 162 of 318 (51%) having an anterior incomplete sacral fracture, 53 (17%) a complete simple fracture, and 48 (15%) a complete comminuted fracture. Forty-two of 318 (13%) had a crescent fracture. One hundred six of 318 (33%) were displaced at presentation. There was a higher incidence of initial displacement observed in fractures including bilateral rami fractures, a comminuted sacra...Continue Reading

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Citations

Sep 11, 2014·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Bharti KhuranaMichael J Weaver
May 4, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A HöchJ Böhme
Sep 17, 2019·Journal of Orthopaedic Trauma·James BeckmannErik Kubiak
Aug 20, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Nirmal TejwaniAbhishek Ganta
Aug 20, 2019·Journal of Orthopaedic Trauma·Heather A VallierPaul Tornetta
May 26, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·K Venugopal MenonJacob Varughese
Jan 11, 2021·Seminars in Roentgenology·Roger J BartolottaAlice S Ha
Apr 17, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Kenan KuršumovićMehool R Acharya
Apr 1, 2018·The American Journal of Emergency Medicine·Shinsuke TanizakiHiroshi Ishida
Jun 23, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Yuki SaitoShiro Imagama

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