Pelvic Trauma
A 45-year-old pedestrian is brought to the trauma bay after being struck by a car from the side. He is hemodynamically stable with BP 125/80 and HR 90. He complains of left hip and pelvic pain. Pelvic radiograph shows overlapping pubic symphysis, superior and inferior pubic rami fractures on the left, and impaction of the left sacrum. CT confirms a left sacral compression fracture without foraminal involvement and ipsilateral pubic rami fractures. The hemipelvis appears rotated internally. Regarding lateral compression (LC) pelvic injuries and the Young-Burgess classification:
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LATERAL COMPRESSION (LC) injuries are the MOST COMMON pelvic ring injury pattern (50-60%); mechanism...
YOUNG-BURGESS LC Classification: LC1 = sacral COMPRESSION fracture + ipsilateral pubic rami fracture...
LC injuries are the least common pelvic ring injury; mechanism is external rotation of the hemipelvi...
LC1 injuries are typically ROTATIONALLY STABLE (intact posterior ligaments) and can be treated NON-O...
LC2 CRESCENT FRACTURE involves posterior iliac wing fracture lateral to SI joint creating an osteoch...
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