NYMC Faculty Publications

High-Energy Pediatric Pelvic and Acetabular Fractures

Author Type(s)

Faculty

DOI

10.1016/j.ocl.2014.06.009

Journal Title

The Orthopedic Clinics of North America

First Page

483

Last Page

500

Document Type

Article

Publication Date

10-1-2014

Department

Medicine

Keywords

Acetabulum, Animals, Child, Diagnostic Errors, Diagnostic Imaging, Disease Models, Animal, Fracture Fixation, Internal, Fractures, Bone, Humans, Magnetic Resonance Imaging, Pelvis, Radiography, Wounds, Nonpenetrating

Disciplines

Medicine and Health Sciences

Abstract

Pediatric pelvic and acetabular fractures are rare injuries. They are almost always the result of a high-energy injury mechanism. A full trauma protocol should be instituted, having a high index of suspicion for associated life-threatening injuries. In the past, it was recommended that almost all of these injuries be treated nonoperatively. However, pelvic and acetabular fractures do not all remodel well. Prospective studies are needed to establish optimal treatment guidelines. Until then, in the presence of instability or significant displacement, operative fixation by a pelvic and acetabular fracture specialist should be considered to allow the best possible outcome.

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