Skip to main content

Advertisement

Log in

The value of computerized tomography in fractures of the pelvic ring

  • Published:
International Orthopaedics Aims and scope Submit manuscript

Summary

Thirty four fractures of the pelvic ring were examined by computerized tomography and the findings compared with those obtained with conventional radiography. CT scanning enabled precise delineation of the fracture sites in the posterior ring. A new classification is proposed which defines five patterns of fracture of the posterior ring. Computerized tomography is a valuable aid in planning operation in these injuries.

Résumé

34 fractures non-consécutives de l'anneau pelvien sont examinées en tomométrie axiale computérisée. Les images sont confrontées à celles de la radiologie conventionnelle. Ceci permet une définition précise des lésions au niveau de l'anneau postérieur. Une nouvelle classification de ces fractures est proposée en cinq types de lésions de l'anneau postérieur. L'utilisation de la tomométrie axiale computérisée dans la planification préopératoire est soulignée.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Carabalona P, Rabischong P, Bonnel F, Perruchon E, Peguret F (1973) Apports du fixateur externe dans les disjonctions du pubis et de l'articulation sacroiliaque. Montpellier Chir 19: 61–70

    Google Scholar 

  2. Conolly W, Hedberg EA (1969) Observations on fractures of the pelvis. J Traumatol 9: 104

    Google Scholar 

  3. Dommisse GF (1960) Diametric fractures of the pelvis. J Bone Joint Surg (Br) 42: 432–443

    Google Scholar 

  4. Genant HK (1981) Computed tomography. In: Resnick, D., Niwayama, G.: Diagnosis of bone and joint disorders. Saunders Philadelphia pp 380–408

  5. Genant HK, Cann CE, Chafetz NT, Helms CA (1981) Advances in computed tomography of the musculoskeletal system. Radiol Clin North Am 19: 645–674

    Google Scholar 

  6. Gertzbein S, Chenoweth D (1977) Occult injuries of the pelvic ring. Clin Orthop 128: 202–207

    Google Scholar 

  7. Gilula LA, Murphy WA, Tailor CC, Patel RB (1979) Computed tomography of the osseous pelvis. Radiology 132: 107–114

    Google Scholar 

  8. Gunterberg B, Goldie I, Slatis P (1978) Fixation of Pelvic fractures and dislocations. Acta Orthop Scand 49: 278–286

    Google Scholar 

  9. Hansen ST (Jr) (1982) CT for pelvic fractures. AJR 138: 592–593

    Google Scholar 

  10. Holdsworth FW (1948) Dislocation and fracture-dislocation of the pelvis. J Bone Joint Surg (BR) 30: 461–466

    Google Scholar 

  11. Judet R, Letournel E (1974) Les fractures du cotyle. Masson, Paris

    Google Scholar 

  12. Key JA, Conwell H E (1951) Management of fractures, dislocations and sprains C. V. Mosby, St. Louis

    Google Scholar 

  13. Lange TA, Alter AJ (Jr) (1980) Evaluation of complex acetabular fractures by computed tomography. J Comput Assist Tomogr 4 (6): 849–852

    Google Scholar 

  14. Letournel E (1981) Traitement chirurgical des traumatismes du bassin en dehors des fractures isolées du cotyle. Rev Chir Orthop 67: 771–782

    Google Scholar 

  15. Letournel E (1980) Acetabulum fractures. Classification and management. Clin Orthop 151: 81–106

    Google Scholar 

  16. Mark LA, Harley JD, Winquist RA (1982) CT of the acetabular fractures. Analysis of fractures patterns. AJR 138: 407–412 (1982)

    Google Scholar 

  17. Malgaigne JF (1855) Traité des fractures et des luxations. JB Baillière, Paris

    Google Scholar 

  18. Mears D, Fu F (1980) Modern concepts of external skeletal fixation of the pelvis. Clin Orthop 151: 65–72

    Google Scholar 

  19. Naidich DP, Freedman MT, Bowerman TW, Sieselman SS (1980) Ten section approach to computed tomography of the pelvis. Skeletal Radiol 5: 213–217

    Google Scholar 

  20. Peltier LF (1980) Historical note. Joseph François Malgaigne and Malgaine's fracture. Clin Orthop 151: 4–7

    Google Scholar 

  21. Pennal GF, Tile M, Waddell JP (1980) Pelvic disruption. Assessment and classification. Clin Orthop 151: 12–21

    Google Scholar 

  22. Reis ND, Zinman C, Besser MIB, Schifrin LZ, Folman Y, Toem S, Froindlich D, Zaklad H (1982) High-résolution computerised tomography in clinical orthopaedics. J Bone Joint Surg. (Br) 64: 20–24

    Google Scholar 

  23. Slatis P, Karaharju E (1980) External fixation of unstable pelvic fractures: Experiences in 22 patients treated with a trapezoid compression frame. Clin Orthop 151: 73–80

    Google Scholar 

  24. Tile M (1980) Pelvic fractures: Operative versus. Nonoperative treatment. Orthop Clin North Am 11: 423–464

    Google Scholar 

  25. Tile M, Pennal GF (1980) Pelvic disruption. Principles of management. Clin Orthop 151: 56–64

    Google Scholar 

  26. Vas WG, Wolverson MK, Sundaram M, Heiberg E, Pilla T, Shields JB, Crepps L (1902) The role of computed tomography in pelvic fractures. J Comput Assist Tomogr 6: 796–201

    Google Scholar 

  27. Vasey H (1979) Frakturen des Beckenringes. In: Frakturen und Luxationen im Beckenbereich Burri C, Rüter A (eds) Hefte Unfallheilkd 140: 7–12

    Google Scholar 

  28. Voillemier LC (1916) In: Le Dentu A, Delbet P, (eds) Nouveau traité de chirurgie. T 4, Baillière, Paris

    Google Scholar 

  29. Injuries of the pelvis (1982) In: Watson-Jones fractures and joint injuries. JN Wilson (ed) Churchill Livingston Edingburgh 2: 853–877

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hoffmeyer, P., Seigne, J.M., Garcia, J. et al. The value of computerized tomography in fractures of the pelvic ring. International Orthopaedics 8, 1–8 (1984). https://doi.org/10.1007/BF00267732

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00267732

Key words

Navigation