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Trauma
intermediate
X-Type

Pelvic Ring Injury Classification

Pelvic Trauma

A 28-year-old motorcyclist is brought to the emergency department after a high-speed collision. He is hemodynamically unstable with a blood pressure of 85/50 mmHg despite 2 units of blood. Pelvic examination reveals instability. AP pelvic radiograph shows symphysis diastasis of 4cm, right sacroiliac joint widening, and multiple associated fractures. A pelvic binder has been applied. Regarding pelvic ring injuries:

Mark each as TRUE or FALSE

A

The pelvic ring consists of three bones (two innominates and the sacrum) connected at three joints (...

B

Young-Burgess classification is based on mechanism of injury: Anteroposterior compression (APC) inju...

C

The anterior pelvic structures are the primary source of stability; disruption of the symphysis alon...

D

Lateral compression (LC) injuries: LC I (pubic rami fractures, sacral impaction without SI disruptio...

E

Clinical significance: APC and VS injuries have higher blood loss due to volume expansion of the tru...

Answer the questions to see explanations

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