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Preliminary trauma radiographs misrepresent pubic diastasis injuries


, : Preliminary trauma radiographs misrepresent pubic diastasis injuries. Orthopedics 38(3): E229-E233

The goal of this study was to evaluate the role of portable primary trauma survey radiographs in the evaluation and management of anteroposterior (AP) compression pelvic injuries. A retrospective analysis was conducted at a level I academic trauma center. Twenty-seven adults with AP compressive class pelvic ring injuries who received both portable pelvic radiographs and pelvic computed tomography (CT) imaging in an unbound pelvic state were included. Three orthopedic surgeons performed independent measurements of diastasis on portable pelvic radiographs and coronal pelvic CT reconstructions. Measurement techniques were standardized among observers and were repeated after 8 weeks to assess intraobserver reliability. Nonoperative vs operative treatments were correlated with the initial magnitude of pelvic injury on CT and portable radiographic images. Independent measurements of diastasis on both radiographs and CT scans showed excellent intraobserver reliability (average correlation coefficient, 0.986) and interobserver reliability (average correlation coefficient, 0.979). Compared with diastasis measurements on CT scans, portable pelvic radiographs overestimated diastasis by an average of 49%, or 12.6 mm (P<.0001; 95% confidence interval, 9.6-15.6). Portable pelvic films were less precise than standard pelvic radiographs in measuring the size of femoral head controls (R(2)=0.919 vs 0.759; P=.004). In 12 of the 27 patients evaluated, radiographic indications for operative pelvic fixation were met by portable radiographs but not CT scans, and 11 of these patients ultimately underwent operative fixation. Portable AP pelvic radiographs may distort and exaggerate pelvic bony injuries, especially those involving anterior pelvic structures. Surgeons should use caution when making management decisions based on preliminary portable pelvic radiographs.

US$19.90

PMID: 25760512

DOI: 10.3928/01477447-20150305-62


Other references

Bar, W.; Fukshansky, N., 2000: Mixed stains Testing of relatives in the situation of a non-seizable suspect. Sensabaugh, George F. , Lincoln, Patrick J. , Olaisen, Bjornar. International Congress Series. Progress In Forensic Genetics 8. 97-99

Grzeszczak W.; Trembecki J.; Seredynski M.; Pachelski J., 1987: Two cases of bournevilles syndrome. Polski Tygodnik Lekarski 42(18): 559-561

Imamura, H.; Kondo, T., 1989: Effects of plant hormones on the root growth of woody plants. A literature review, particularly of physiological interactions induced by both endo- and exogenous plant hormones, endogenous hormones in tree roots in intact, undisturbed conditions and physiological phenomena induced by the administration of ex...

Colin, J.; Goethals, M., 1978: Characterization of an isolate of Prunus necrotic ring spot virus obtained from almond in Morocco. The virus produced a moderate reaction on GF 305 peach seedlings and was easily transmitted to Chenopodium quinoa. On the latter reactions differed depending on whether the test was made in Morocco or Belgium.

Kudryashov, VA.; Zvyagintsev, AYu., 1981: Amphipoda Crustacea fouling ships in the Far Eastern marine basin. Unknown

Okuda, Y., 2008: Review of tocilizumab in the treatment of rheumatoid arthritis. Constitutively overproduced in proliferating synovial tissues, interleukin-6 (IL-6) is deeply involved in the pathology of rheumatoid arthritis (RA). Tocilizumab is a humanized anti-human IL-6 receptor antibody that binds to soluble and membrane-b...

Clarke, J.W.; Pankratz, D.L., 1979: Urban hospital fosters cooperative programs to expand rural care. An urban medical center has found that participation in cooperative programs with surrounding small rural hospitals meets its own need for a broader geographical base of operations and their needs for access to more and specialized services.

Iseki, M., 1979: Cryptosporidium felis sp. n. (Protozoa: Eimeriorina) from the domestic cat. Cryptosporidium felis sp. n. from domestic cats, endogenous developmental stages, life cycle, host specificity, pathogenicity

David Mainprice; Geoffrey E Lloyd; Martin Casey, 1993: Individual orientation measurements in quartz polycrystals; advantages and limitations for texture and petrophysical property determinations. Journal of Structural Geology 15(9-10): 1169-1187

Jalife, J.; Morley, G.E.; Tallini, N.Y.; Vaidya, D., 1998: A fungal metabolite that eliminates motion artifacts. Journal of Cardiovascular Electrophysiology 9(12): 1358-1362