[Study on pelvic injury mechanisms in road traffic fatalities according to Young-Burgess classification].
OBJECTIVE
To explore the pelvic injury mechanisms in road traffic fatalities (RTFs) according to Young-Burgess classification and its practical value in forensic medicine.


METHODS
Retrospective study was performed on pelvic X-ray radiographs of adult RTFs outside the automobiles in 128 cases. Pelvic injury mechanisms were investigated according to Young-Burgess classification and then were analyzed statistically combined with the real circumstance.


RESULTS
The accuracy of pelvic injury mechanism identification using APC subtype (94.1%) and LC subtype (92.9%) were significantly higher than that without using subtypes (63.6% and 70.7%) (P<0.05). LC subtype was helpful to discriminate the direction of force, for example the rear lateral force, anterior lateral force or continuous anterior lateral force.


CONCLUSIONS
Young-Burgess classification discriminated by various methods of medical imaging may be helpful to study the pelvic injury mechanisms and provide reliable reference for road traffic accidents reconstruction.
Hong
Xiang
X
The People's Procuratorate of Zhejiang Province, Hangzhou 310012, China. hongxiang@mail.hz.zj.cn
Zhu
Ya-Li
YL
Bao
Chao-Sheng
CS
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005554:Forensic Medicine / Q000379:methods; D050723:Fractures, Bone / Q000145:classification* / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D010384:Pelvic Bones / Q000293:injuries*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods*; D015599:Trauma Severity Indices; D055815:Young Adult