[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.
The People's Procuratorate of Zhejiang Province, Hangzhou 310012, China. hongxiang@mail.hz.zj.cn
Xiang
X
Hong
Ya-Li
YL
Zhu
Chao-Sheng
CS
Bao
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