Traumatic injuries: imaging of pelvic fractures.
Details
Serval ID
serval:BIB_594BC79E41C7
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Traumatic injuries: imaging of pelvic fractures.
Journal
European Radiology
ISSN
0938-7994
Publication state
Published
Issued date
06/2002
Peer-reviewed
Oui
Volume
12
Number
6
Pages
1312-1330
Language
english
Notes
Publication types: Journal Article ; Review
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 good-quality plain films completed by CT imaging in fine slices with multiplanar reconstruction. Letournel's classification remains the reference standard. Management consists mainly of re-establishing 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 time-consuming 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.
Keywords
Fractures, Bone/radiography, Humans, Magnetic Resonance Imaging, Pelvic Bones/injuries, Pelvic Bones/radiography, Tomography, X-Ray Computed
Pubmed
Web of science
Create date
11/04/2008 11:51
Last modification date
20/08/2019 14:12