[Injuries of the pelvic girdle. The pathway to exact diagnosis: which imaging methods are indicated? Synopsis of information].
Synopsis in diagnosis of pelvic ring fractures begins with the help of our senses while taking the history, inspecting and palpating the patient. It is continued with urological, gynecological and neurological assessment of the whole extent of peripelvineal injury. The picture is completed by ultrasonography, standard X-rays and special views, two- and three-dimensional CT and finally MRI. To minimize radiation damage to the patient and to lower the costs for radiologic assessment the standard ap view of the pelvis has to be analysed carefully to avoid numerous special views. Horizontal lines drawn perpendicular to the L5-Sacrum-Symphysis axis are helpful in discriminating rotational and translational instability, quantifying the extent of dislocation and controlling the quality of reduction and internal fixation. In order to avoid missing fractures of the os sacrum, the arcuate lines have to be inspected carefully.
Zwipp
H
H
Klinik und Poliklinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Carl Gustav Carus, Dresden.
Dahlen
C
C
Grass
R
R
Rammelt
S
S
D003952:Diagnostic Imaging; D050723:Fractures, Bone / Q000145:classification / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000145:classification / Q000175:diagnosis / Q000601:surgery; D010384:Pelvic Bones / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D012680:Sensitivity and Specificity