Pelvic trauma in rapidly fatal motor vehicle accidents

被引:43
作者
Adams, JE
Davis, GG
Alexander, CB
Alonso, JE
机构
[1] Univ Alabama Birmingham, Sch Med, Div Orthopaed Surg, Birmingham, AL 35294 USA
[2] Univ Alabama Birmingham, Sch Med, Dept Pathol, Birmingham, AL 35294 USA
[3] Coroner Med Examiners Off, Jefferson Cty, AL USA
关键词
pelvic fractures; motor vehicle accident;
D O I
10.1097/00005131-200307000-00003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objective: To study the incidence and nature of pelvic fractures in rapidly fatal automobile accidents. Design: Retrospective. Setting: County Medical Examiner's Office. Patients: The files of 255 consecutive motor vehicle accident fatalities examined at the Jefferson County Coroner/Medical Examiner's office (study period 1996-1998) were reviewed. We orrelated this information with our previous findings, derived from a review of 392 such cases (study period 19941996). Results: Approximately 25% of decedents involved in rapidly fatal automobile accidents sustained pelvic fractures. In 93% of the cases, postmortem radiographs were available and suitable for scoring according to the Orthopaedic Trauma Association nomenclature. The distribution of pelvic fractures by type was type A, 16%; type B, 32%; and type C, 52%, with the most common pelvic fracture being type C1 (26%). Additionally, pedestrians and motorcyclists were twice as likely to sustain a pelvic fracture, and the severity of pelvic fracture type seemed to correlate with increasing speed of the automobile. No correlation between drug use or direction of impact and incidence or type of pelvic fracture was observed. Compared with published studies on survivors of automobile accidents, our data suggest that pelvic injuries may tend to be more severe in victims who do not survive to hospitalization. Conclusions: Our data indicate that current estimates about the mortality of pelvic fractures may be faulty due to exclusion of victims who fail to survive to hospitalization. This series suggests that an appreciation of the full spectrum of pelvic ring disruptions requires collaboration between orthopaedic surgeons and forensic pathologists.
引用
收藏
页码:406 / 410
页数:5
相关论文
共 14 条
[1]   Analysis of the incidence of pelvic trauma in fatal automobile accidents [J].
Adams, JE ;
Davis, GG ;
Heidepriem, RW ;
Alonso, JE ;
Alexander, CB .
AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY, 2002, 23 (02) :132-136
[2]   Role of tile classification in predicting urethral injuries in pediatric pelvic fractures [J].
Batislam, E ;
Ates, Y ;
Germiyanoglu, C ;
Karabulut, A ;
Gulerkaya, B ;
Erol, D .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1997, 42 (02) :285-287
[4]   PELVIC FRACTURE IN MULTIPLE TRAUMA - CLASSIFICATION BY MECHANISM IS KEY TO PATTERN OF ORGAN INJURY, RESUSCITATIVE REQUIREMENTS, AND OUTCOME [J].
DALAL, SA ;
BURGESS, AR ;
SIEGEL, JH ;
YOUNG, JW ;
BRUMBACK, RJ ;
POKA, A ;
DUNHAM, CM ;
GENS, D ;
BATHON, H .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1989, 29 (07) :981-1002
[5]   Epidemiology of pelvic ring injuries [J].
Gansslen, A ;
Pohlemann, T ;
Paul, C ;
Lobenhoffer, P ;
Tscherne, H .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1996, 27 :13-20
[6]   Classification of pelvic ring injuries [J].
Isler, B ;
Ganz, R .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1996, 27 :3-12
[7]   Evaluation of pelvic fractures - Clinical and radiologic [J].
MacLeod, M ;
Powell, JN .
ORTHOPEDIC CLINICS OF NORTH AMERICA, 1997, 28 (03) :299-&
[8]   Use of endosteal substitution in the treatment of recalcitrant nonunions of the femur: Report of seven cases [J].
Matelic, TM ;
Monroe, MT ;
Mast, JW .
JOURNAL OF ORTHOPAEDIC TRAUMA, 1996, 10 (01) :1-6
[9]   The epidemiology of pelvic fractures in the Mersey region [J].
Muir, L ;
Boot, D ;
Gorman, DF ;
Teanby, DN .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1996, 27 (03) :199-204
[10]  
PENNAL GF, 1980, CLIN ORTHOP RELAT R, V151, P12