Abstract
The management of pelvic fractures varies according to the nature of the disruptive force and hence the type of injury. Stabilization with compression devices or slings, which may be warranted in some injuries are contraindicated in lateral compression fractures due to the exacerbation of pelvic collapse they will induce. The diagnosis of this type of fracture is therefore of the utmost importance, and yet is frequently missed due largely to ignorance of this type of injury and its significance. Despite mention of this entity in surgical publications, there is a paucity of information in the radiologic literature, and no definitive radiologic appearances have been described. Forty-three patients with lateral compression fractures admitted to the Shock Trauma Unit of the University of Maryland were studied, and the radiologic features, together with diagnostic signs specific to this injury are presented.
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References
Bucholz RW (1981) The pathological anatomy of Malgaigne fracture dislocations of the pelvis. J Bone Joint Surg [Am] 63:400
Carobolora P, Rabinchong P, Bonnel F, Percuchon E, Pergunet F (1973) Apports des fixateurs externes dans les disjonction du pubis et de l'articulation sacroiliaque. Montpell Chir 29:61
Gertzbein SD, Chenoweth DR (1977) Occult injuries of the pelvic ring. Clin Orthop 128:202
Holdsworth FW (1972) Dislocation and fracture dislocation of the pelvis. J Bone Joint Surg [Br] 30:461
Karokarju EO, Slatis P (1978) External fixation of double vertical fractures with a trapezoid compression frame. Injury 10:142
Kinzli L, Burri R, Coldlweg J (1980) Fractures of the pelvis and associated intrapelvic injuries. Injury 14:63–69
Mears DC, Freddie HF (1980) Modern concepts of external skeletal fixation of the pelvis. Clin Orthop 151:65
Muller J, Bachmaun B, Berg H (1978) Malgaine fracture of the pelvis, treatment with percutaneous pin fixation. J Bone Joint Surg [Am] 60:992
Peltier LF (1965) Complications associated with fractures of the pelvis. J Bone Joint Surg [Am] 47:1060
Pennal GF, Tile M, Waddell JP, Garside H (1980) Pelvic disruption: Assessment and classification. Clin Orthop 151:12
Sarkar des Sarkar (1976) Unstable hemipelvic fractures with internal rotation displacement. J Trauma 16:402
Sharp K (1973) Plate fixation of disrupted symphysis pelvis. J Bone Joint Surg [Br] 55:618
Slatis P, Karakarju EO (1980) External fixation of unstable pelvic fractures. Clin Orthop 151:73
Tile M (1984) Fractures of the pelvis and acetabulum. Williams and Wilkens, Baltimore, p 28
Tile M (1984) Fractures of the pelvis and acetabulum. Williams and Wilkens, Baltimore London, p 43
Tile M (1984) Fractures of the pelvis and acetabulum. Williams and Wilkens, Baltimore London, pp 49, 110
Tile M, Pennal GF (1980) Pelvic disruption. Clin Orthop 151:56
Trunkey, DD, Chapman MW, Lim RC, Dunphy JE (1976) Management of pelvic fractures in blunt trauma injury. J Traum 14:912
Whiston G (1953) Internal fixation for fractures and dislocations of the pelvis. J Bone Joint Surg [Am] 35:701
Wild JJ, Hanson GW, Tullos HS (1982) Unstable fractures of the pelvis treated by external fixation. J Bone Joint Surg [Am] 64:1010
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Young, J.W.R., Burgess, A.R., Brumback, R.J. et al. Lateral compression fractures of the pelvis: The importance of plain radiographs in the diagnosis and surgical management. Skeletal Radiol 15, 103–109 (1986). https://doi.org/10.1007/BF00350202
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DOI: https://doi.org/10.1007/BF00350202