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Isolated Pelvic Injuries, Traumatic
Julia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Definitions

            • Pelvic fracture without destabilization of pelvic ring or involvement of acetabulum
              • May occur due to direct blow, muscle avulsion, axial load, or insufficiency fracture

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Paydar S et al: Role of routine pelvic radiography in initial evaluation of stable, high-energy, blunt trauma patients. Emerg Med J. 30(9):724-7, 2013
                                    2. Zermatten P et al: Iliac wing fracture following graft harvesting from the anterior iliac crest: literature review based on a case report. Orthop Traumatol Surg Res. 98(1):114-7, 2012
                                    3. UrzĂșa A et al: Isolated transverse sacral fractures. Spine J. 11(12):1117-20, 2011
                                    4. Ogawa H et al: Pelvic fractures resulting from snowboarding. Am J Sports Med. 38(3):538-42, 2010
                                    5. Hak DJ et al: Sacral fractures: current strategies in diagnosis and management. Orthopedics. 32(10), 2009
                                    6. Lunsjo K et al: Associated injuries and not fracture instability predict mortality in pelvic fractures: a prospective study of 100 patients. J Trauma. 62(3):687-91, 2007
                                    7. Avey G et al: Radiographic and clinical predictors of bladder rupture in blunt trauma patients with pelvic fracture. Acad Radiol. 13(5):573-9, 2006
                                    8. Durkin A et al: Contemporary management of pelvic fractures. Am J Surg. 192(2):211-23, 2006
                                    9. Park J et al: Imaging of pelvic trauma. Contemporary Diagnostic Radiology. 28(24):1-6, 2005
                                    10. Yoon W et al: Pelvic arterial hemorrhage in patients with pelvic fractures: detection with contrast-enhanced CT. Radiographics. 24(6):1591-605; discussion 1605-6, 2004
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            TERMINOLOGY

                                            • Definitions

                                              • Pelvic fracture without destabilization of pelvic ring or involvement of acetabulum
                                                • May occur due to direct blow, muscle avulsion, axial load, or insufficiency fracture

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • MR Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Paydar S et al: Role of routine pelvic radiography in initial evaluation of stable, high-energy, blunt trauma patients. Emerg Med J. 30(9):724-7, 2013
                                                                      2. Zermatten P et al: Iliac wing fracture following graft harvesting from the anterior iliac crest: literature review based on a case report. Orthop Traumatol Surg Res. 98(1):114-7, 2012
                                                                      3. UrzĂșa A et al: Isolated transverse sacral fractures. Spine J. 11(12):1117-20, 2011
                                                                      4. Ogawa H et al: Pelvic fractures resulting from snowboarding. Am J Sports Med. 38(3):538-42, 2010
                                                                      5. Hak DJ et al: Sacral fractures: current strategies in diagnosis and management. Orthopedics. 32(10), 2009
                                                                      6. Lunsjo K et al: Associated injuries and not fracture instability predict mortality in pelvic fractures: a prospective study of 100 patients. J Trauma. 62(3):687-91, 2007
                                                                      7. Avey G et al: Radiographic and clinical predictors of bladder rupture in blunt trauma patients with pelvic fracture. Acad Radiol. 13(5):573-9, 2006
                                                                      8. Durkin A et al: Contemporary management of pelvic fractures. Am J Surg. 192(2):211-23, 2006
                                                                      9. Park J et al: Imaging of pelvic trauma. Contemporary Diagnostic Radiology. 28(24):1-6, 2005
                                                                      10. Yoon W et al: Pelvic arterial hemorrhage in patients with pelvic fractures: detection with contrast-enhanced CT. Radiographics. 24(6):1591-605; discussion 1605-6, 2004