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Pelvic classification

The severity of pelvic pain and the incidence of infertility are not related to the localization of the lesions or to the stage of the disease (Gruppo Ital-iano per lo Studio dell Endometriosi 2001), as categorized according to the revised American Fertility Society (r-AFS) guidelines (American Fertility Society 1985). In fact, the r-AFS classification system is inadequate to express the severity of the symptomatology because it does not reflect the disease in terms of cellular mass or activity. [Pg.312]

The classification of pelvic fractures has been widely discussed for adult patients. In general, the classification of any paediatric injury follows adult practice, but there is less data available on paediatric injuries. The aim of any classification system is to try and determine the mechanism of injury, assess the degree of instability, aid appropriate management and if possible predict outcome. The multitude of classification systems makes comparison of incidence, mechanism of injury, morbidity and mortality between different studies difficult. [Pg.179]

Since then classification systems that related the pattern of fracture to the nature of the applied force have been introduced (Pennal et al. 1980b). This is described as the force-vector classification. There have been suggested refinements that have identified a progression in the severity of injuries and identified those fractures which are more likely to be unstable or be associated with pelvic haemorrhage and genitourinary injury (Young et al. 1986a,b Dalal et al. 1989 Ben-Menachem et al. 1991). [Pg.179]

Further classification systems have been described, aimed at improving the link between causation, stability and management (Dalal et al. 1989 Tile 1996a,b). The Tile AO classification identifies three types of fracture (A, B and C) based on the stability of the pelvic ring and the posterior supporting structures. [Pg.179]

A primary paediatric classification based on a retrospective review of children s pelvic injuries that is based upon the severity of the fracture and associated prognosis has been described (Torode and Zieg 1985). [Pg.179]

Any fracture can ultimately be classified in as many ways as there are classification systems. As with all aspects of radiology, it is important that the radiologist and treating physician use the same system and are comfortable and accepting of the classification system being used. As a consequence of the complexity of mechanisms and forces that result in acute pelvic fractures, all the injuries should be considered in the context of polytrauma management, rather than in isolation. Any classification system... [Pg.179]

This classification system aims to link management and prognostic evaluation with the imaging findings. It is based on the work of Tile and the Association for Osteosynthesis and relates to the site of fractures within the pelvic ring (Fig. 12.15a-c). There are three classifications, A, B and C. In type A fractures, the pelvic ring is stable, type B is partially stable this includes the open-book and bucket-handle fractures which are caused by external- and internal-rotation forces, respectively. In type C injuries, there is complete disruption of the posterior sacroiliac complex. In adults, type A lesions represent 52%, type B 27% and type C 21% (Theumann et al. 2002). The classification is shown in Table 12.1. [Pg.183]

Torode and Zeig classification of pelvic fractures. Type I avulsion injuries. Type II Iliac wing fractures (stability of the ligament complex). [Pg.185]

Dalai SA, Burgess AR, et al. (1989) Pelvic fracture in multiple trauma classification by mechanism is key to pattern of organ injury, resuscitative requirements, and outcome. J Trauma 29 981-1000 discussion 1000-1002 Demetriades D, Karaiskakis M, et al. (2003) Pelvic fractures in pediatric and adult trauma patients are they different injuries J Trauma 54 1146-1151 discussion 1151 El-Khoury GY, Daniel WW, et al. (1997) Acute and chronic avulsive injuries. Radiol Clin North Am 35 747-766 Ersoy G, Karcioglu O, et al. (1995) Should all patients with blunt trauma undergo routine pelvic X-ray Eur J Emerg Med 2 65-68... [Pg.192]

Wedegartner U, Gatzka C, Rueger JM, Adam G (2003) Multislice CT (MSCT) in the detection and classification of pelvic and acetabular fractures. Rofo 175 105-111 Wintermark M, Mouhsine E, Theumann N, Mordasini P, van Melle G, Leyvraz PF, Schnyder P (2003) Thoracolumbar spine fractures in patients who have sustained severe trauma depiction with multi-detector row CT. Radiology 227 681-689... [Pg.354]

Kane s classification of pelvic radiograph s helps to convey the gravity of the bony injury (See Table 5.1). [Pg.61]

Cryer HM, Miller FB et al. (1988) Pelvic fracture classification correlation with hemorrhage. J Trauma 28(7) 973-80... [Pg.67]

Dalai SA, Burgess AR et al. (1989) Pelvic fracture in multiple trauma classification by mechanism is key to pattern of organ injury, resuscitative requirements, and outcome. J Trauma 29(7) 981-1000 discussion 1000-2... [Pg.67]

Burgess AR, Eastridge BJ, et al. (1990) Pelvic ring disruptions effective classification system and treatment protocols. J Trauma 30(7) 848-56... [Pg.67]

This classification does not take into account the possible ureteric injuries that are known to be more frequent in children than in adults (Reda and Lebowitz, 1986). Uretero-pelvic junction disruption is the most common location in cases of blunt abdominal trauma it predominates in children with ureteropelvic junction obstruction. Diagnosis is difficult due to the usual absence of hematuria. [Pg.466]


See other pages where Pelvic classification is mentioned: [Pg.317]    [Pg.170]    [Pg.129]    [Pg.155]    [Pg.300]    [Pg.184]    [Pg.192]    [Pg.192]    [Pg.192]    [Pg.349]    [Pg.352]    [Pg.593]    [Pg.598]    [Pg.61]   
See also in sourсe #XX -- [ Pg.61 ]




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