Imaging Review of Pelvic Ring Fractures and Its Complications in High-Energy Trauma

被引:4
作者
Leone, Edoardo [1 ]
Garipoli, Andrea [2 ]
Ripani, Umberto [3 ]
Lanzetti, Riccardo Maria [4 ]
Spoliti, Marco [4 ]
Creta, Domenico [5 ]
Giannace, Carolina [6 ]
Galluzzo, Antonio [7 ]
Trinci, Margherita [1 ]
Galluzzo, Michele [1 ]
机构
[1] Azienda Osped San Camillo Forlanini, Dept Emergency Radiol, I-00152 Rome, Italy
[2] Univ Campus Biomed Roma, Dept Radiol, I-00128 Rome, Italy
[3] Osped Riuniti Ancona, Div Anaesthesia Analgesia & Intens Care & Pain Th, Dept Emergency & Major Trauma, I-60162 Ancona, Italy
[4] Azienda Osped San Camillo Forlanini, Dept Emergency & Acceptance, Orthopaed & Traumatol Unit, I-00152 Rome, Italy
[5] Casa Cura Privata Madre Fortunata Toniolo, Phys Med & Rehabil Serv, I-40141 Bologna, Italy
[6] ASL Roma 1, UOC SISP, I-00135 Rome, Italy
[7] Univ Firenze, Dept Radiol, I-50121 Florence, Italy
关键词
pelvic ring fracture; high-energy trauma; computed tomography; intrapelvic bleeding; genitourinary injury; COMPUTED-TOMOGRAPHY; SACRAL FRACTURES; ARTERIAL HEMORRHAGE; VASCULAR INJURIES; MULTIDETECTOR CT; URETHRAL INJURY; DIAGNOSIS; MANAGEMENT; CYSTOGRAPHY; ACCURACY;
D O I
10.3390/diagnostics12020384
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pelvic ring fractures are common in high-energy blunt trauma, especially in traffic accidents. These types of injuries have a high rate of morbidity and mortality, due to the common instability of the fractures, and the associated intrapelvic vascular and visceral complications. Computed tomography (CT) is the gold standard technique in the evaluation of pelvic trauma because it can quickly and accurately identify pelvic ring fractures, intrapelvic active bleeding, and lesions of other body systems. To properly guide the multidisciplinary management of the polytrauma patient, a classification criterion is mandatory. In this review, we decided to focus on the Young and Burgess classification, because it combines the mechanism and the stability of the fractures, helping to accurately identify injuries and related complications.
引用
收藏
页数:17
相关论文
共 74 条
[1]   Arterial embolization is a rapid and effective technique for controlling pelvic fracture hemorrhage [J].
Agolini, SF ;
Shah, K ;
Jaffe, J ;
Newcomb, J ;
Rhodes, M ;
Reed, JF .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1997, 43 (03) :395-399
[2]   The nature of urethral injury in cases of pelvic fracture urethral trauma [J].
Andrich, DE ;
Mundy, AR .
JOURNAL OF UROLOGY, 2001, 165 (05) :1492-1494
[3]   CT of Major Vascular Injury in Blunt Abdominopelvic Trauma [J].
Baghdanian, Arthur H. ;
Armetta, Anthony S. ;
Baghdanian, Armonde A. ;
LeBedis, Christina A. ;
Anderson, Stephan W. ;
Soto, Jorge A. .
RADIOGRAPHICS, 2016, 36 (03) :872-890
[4]   Predicting urethral injury from pelvic fracture patterns in male patients with blunt trauma [J].
Basta, Amaya M. ;
Blackmore, C. Craig ;
Wessells, Hunter .
JOURNAL OF UROLOGY, 2007, 177 (02) :571-575
[5]   ULTRASONOGRAPHIC DETERMINATION OF PUBIC SYMPHYSEAL WIDENING IN TRAUMA: THE FAST-PS STUDY [J].
Bauman, Michael ;
Marinaro, Jonathan ;
Tawil, Isaac ;
Crandall, Cameron ;
Rosenbaum, Lizabeth ;
Paul, Ian .
JOURNAL OF EMERGENCY MEDICINE, 2011, 40 (05) :528-533
[6]   The adult human pubic symphysis: a systematic review [J].
Becker, Ines ;
Woodley, Stephanie J. ;
Stringer, Mark D. .
JOURNAL OF ANATOMY, 2010, 217 (05) :475-487
[7]   CT characteristics of traumatic sacral fractures in association with pelvic ring injuries: correlation using the Young-Burgess classification system [J].
Beckmann N. ;
Cai C. .
Emergency Radiology, 2017, 24 (3) :255-262
[8]   HEMORRHAGE ASSOCIATED WITH PELVIC FRACTURES - CAUSES, DIAGNOSIS, AND EMERGENT MANAGEMENT [J].
BENMENACHEM, Y ;
COLDWELL, DM ;
YOUNG, JWR ;
BURGESS, AR .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1991, 157 (05) :1005-1014
[9]   Genitourinary Injuries in Pelvic Fracture Morbidity and Mortality Using the National Trauma Data Bank [J].
Bjurlin, Marc A. ;
Fantus, Richard J. ;
Mellett, Michele M. ;
Goble, Sandra M. .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2009, 67 (05) :1033-1039
[10]   Abdominopelvic bleed rate on admission CT correlates with mortality and transfusion needs in the setting of blunt pelvic fractures: a single institution pilot study [J].
Borror, William ;
Gaski, Greg E. ;
Steenburg, Scott .
EMERGENCY RADIOLOGY, 2019, 26 (01) :37-44