Brian Scott Martell MD, Presenter: Nothing to Disclose

Scott David Wuertzer MD, MS, Abstract Co-Author: Nothing to Disclose

Leon Lenchik MD, Abstract Co-Author: Nothing to Disclose

Anna N Miller MD, Abstract Co-Author: Nothing to Disclose

1. Accurate reporting of pelvic ring fractures on trauma CTs is essential for optimal patient management. 2. Young and Burgess classification is based on direction of force while Tile classification is based on stability. 3. To provide value to orthopedic surgeons, radiologists should recognize important CT imaging findings for both systems. 4. Radiologist should have a basic knowledge of fracture management to help asses for complications on the postoperative CTs.  

1. Introduction 2. Optimizing CT protocol a. 2 mm true axials b. 0.625mm reconstructions c. 3D renderings of inlet, outlet, and Judet views 3. CT reports a. What fracture direction and impaction tells you b. Direction of displacement matters c. Tile classification: A-stable, B-partially stable, C-unstable d. Young/Burgess classification: Anteroposterior Compression, Lateral Compression, Vertical Shear, Mixed 4. Pitfalls in reporting a. Crescent fractures of the ilium-an important sign of instability b. Recognizing spino-pelvic dissociation-sacral U fractures c. Don’t forget the ischial spine, lateral sacrum, and L5 transverse process 5. Fracture management a. Immediate patient management b. Nonoperative treatment c. Surgical fixation d. Dysmorphic sacrum and its implications 6. Post-operative CTs 7. References  

http://abstract.rsna.org/uploads/2014/14013238/14013238_tk61.pdf

Martell, B, Wuertzer, S, Lenchik, L, Miller, A, Convergence of Radiology and Orthopedics: Understanding Pelvic Ring Fractures and How to Report Them on Trauma CT Examinations.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14013238.html