David Dreizin MD, Presenter: Nothing to Disclose

Haoxing Chen BS, Abstract Co-Author: Nothing to Disclose

Felipe Munera MD, Abstract Co-Author: Nothing to Disclose

Krystal Archer-Arroyo MD, Abstract Co-Author: Nothing to Disclose

Daniel Christopher Mascarenhas BS, Abstract Co-Author: Nothing to Disclose

Deborah Stein MD, PhD, Abstract Co-Author: Nothing to Disclose

Thomas M. Scalea MD, Abstract Co-Author: Nothing to Disclose

Uttam Bodanapally MD, Abstract Co-Author: Nothing to Disclose

Stuart E. Mirvis MD, Abstract Co-Author: Nothing to Disclose

After completing this exhibit, viewers will be able to…  Describe the basic patterns of injury of the Young-Burgess and Tile classification systems of pelvic ring disruption. Explain the anatomic and mechanistic basis of traumatic pelvic ring instability. Describe management of instability and associated vascular and soft tissue injuries  

1. Introduction Blunt pelvic trauma epidemiology Anatomy and biomechanics Posterior sacroiliac ligament complex and sagittal stabilizers Anterior pelvic ring: pubic symphysis and rami Vector forces, internal and external rotation/torque 2. Classification systems of pelvic ring disruption Defining instability Young-Burgess classification Tile classification Strengths and limitations of each system 3. Management of bony and ligamentous instability in the acute setting. Pelvic binders Angioembolization External fixation and percutaneous screw placement 4. Associated soft tissue injuries Pelvic extraperitoneal hematomas (arterial, venous, and bony bleeds) Open and occult contaminated injuries Genitourinary trauma Rectus sheath avulsion Degloving injuries (e.g. Morell-lavallee)  5. Conclusion  

http://abstract.rsna.org/uploads/2014/14008138/14008138_axqx.pdf

Dreizin, D, Chen, H, Munera, F, Archer-Arroyo, K, Mascarenhas, D, Stein, D, Scalea, T, Bodanapally, U, Mirvis, S, MDCT of High Energy Pelvic Ring Disruptions in Blunt Trauma.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008138.html