Authors: N Theumann J Verdon E Mouhsine A Denys P Schnyder F Portier
Publish Date: 2002/04/24
Volume: 12, Issue: 6, Pages: 1312-1330
Abstract
Pelvic trauma includes a great variety of very polymorphous lesions differing from each other by their anatomical aspect their context and therapeutic implication In order to be efficient the radiologist first has to know diagnostic value of each radiological technique in order to suggest the investigation strategy appropriate to any clinical situation Then he must be able to accurately describe fractures and to include them into a classification in agreement with the clinician Pelvic fractures form a polymorphous group In the isolated acetabular fractures function is mainly at stake Radiological assessment relies upon goodquality plain films completed by CT imaging in fine slices with multiplanar reconstruction Letournels classification remains the reference standard Management consists mainly of reestablishing a joint congruence to prevent early coxarthrosis Pelvic fractures often occur in violent trauma and are associated with visceral lesions putting vital prognosis at stake Radiological assessment must be included in multidisciplinary management and CT imaging stands for the most complete and least timeconsuming device allowing for investigation of both visceral and osseous lesions In case of hemodynamic shock external fracture stabilization and embolization of pelvic bleeding are preponderant Tile/Association for Osteosynthesis classification is the most used presently It allows good description of mechanisms and lesions and more adapted management
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