Bone Trauma

Published Date: 25th July 2024

Publication Authors: Iyengar. KP

Abstract
The skeleton of the lower torso is a strong yet flexible scaffold composed of the sacrococcygeal spine, pelvic girdle, and hip joints, whose individual components can undergo a multitude of possible injuries following either low- or high-energy traumas. Plain and cross-sectional imaging play key roles in the early detection of skeletal injuries, analysis of their biomechanical context, and provision of objective guidance toward the best treatment decisions. Imaging-based classification systems represent a simple yet effective tool for standardizing prognostication, facilitating interdisciplinary communication, and optimizing management. Existing literature offers an imprecise number of classification systems for fractures of the lower torso, each with a different level of biomechanical correlation, clinical utility, and practicality. Notwithstanding the publication of the all-inclusive AO/OTA compendium, knowledge of some of the pioneering classification systems for skeletal fractures can help the musculoskeletal radiologist to grasp the biomechanical principles governing the skeleton of the lower torso, in order to improve the reporting of traumatic injuries in terms of appropriateness, time, and accuracy. This chapter accompanies the reader through a journey from the general anatomical context of the skeleton of the lower torso to the specific aspects of each fracture class, passing through the locoregional biomechanics and paramount imaging techniques.

Zecca, F; Iyengar, KP et al. (2024). Bone Trauma. In: Davies, M; Botchu, R; Iyengar, KP. (Ed). Imaging of the Hip & Boney Pelvis. 2nd ed. Switzerland: SpringerNature. pp.141-214

 

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