High-energy Lateral Compression Type 1 Injuries of the Pelvis: A Spectrum of Injury.

J Am Acad Orthop Surg · Feb 15 2020 · Review

Tejwani N, Stevens NM, Ganta A

From the NYU Langone Orthopedics, NYU Langone Health, New York, NC (Dr. Ganta)

Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis review outlines the variable stability spectrum of high-energy lateral compression type 1 pelvic fractures and emphasizes exam under anesthesia and possible surgical stabilization when instability signs are present.
Abstract, as published

Lateral compression type 1 pelvic fractures comprise a spectrum of injuries of varying stability. The clinician should be cognizant of signs and symptoms of instability including complete sacral fractures, bilateral ramus fractures, displacement greater than 1 cm, high-energy mechanism, and inability to bear weight. Management of these injuries is controversial, but the clinician should consider examination under anesthesia and potentially surgical stabilization.

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