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Trauma
intermediate
X-Type

Pelvic Ring Fracture Classification

Pelvic Trauma

A 35-year-old motorcyclist is brought to the emergency department following a high-speed collision. He is hemodynamically unstable with blood pressure 80/50 mmHg. Pelvic radiograph shows widening of the pubic symphysis to 4cm with bilateral sacroiliac joint widening. There is no vertical displacement. CT confirms complete disruption of the symphysis and bilateral anterior SI joint injury. Regarding pelvic ring fracture classification:

Mark each as TRUE or FALSE

A

The Young-Burgess classification is based on mechanism of injury: Lateral Compression (LC), Anteropo...

B

LC injuries (most common, 60-70%) result from lateral force causing internal rotation of hemipelvis;...

C

APC injuries result from lateral compression; LC injuries result from anteroposterior forces; VS inj...

D

APC injuries (15-20%) result from anteroposterior force causing external rotation ("open book"); APC...

E

VS injuries (5-15%) result from axial load (fall from height, MVA with extended leg); characterized ...

Answer the questions to see explanations

Click T (True) or F (False) for each option