Wharton Rupert M H, Trowbridge Sam, Simpson Ashley, Sarraf Khaled M, Jabbar Yaser
Department of Trauma and Orthopaedics, Imperial College Healthcare NHS Trust, St Mary's Hospital.
Department of Trauma and Orthopaedics, Chelsea and Westminster NHS Foundation Trust.
J Pediatr Orthop B. 2019 Sep;28(5):476-486. doi: 10.1097/BPB.0000000000000591.
Pelvic injuries have an incidence of 1: 100 000 children per year in the UK, of which 10% are unstable. A literature review was conducted. Clinical examination alone in a stable patient precludes the need for imaging. Imaging options in the acute pelvic injury are critically reviewed. Where appropriate Judet views or limited exposure computed tomography scan remain of diagnostic benefit. Displacement greater than 1 cm should be reduced and held with an appropriate method. Closed reduction and external fixation for rotationally unstable fractures, and closed or open reduction with internal fixation of two columns should be considered for rotationally and vertically unstable fractures.
在英国，骨盆损伤的发生率为每年每10万名儿童中有1例，其中10%为不稳定型。进行了一项文献综述。对于稳定的患者，仅通过临床检查就无需进行影像学检查。对急性骨盆损伤的影像学检查选项进行了严格审查。在适当情况下，Judet位片或有限曝光计算机断层扫描仍具有诊断价值。移位大于1厘米的情况应予以复位并用适当方法固定。对于旋转不稳定骨折，应采用闭合复位和外固定；对于旋转和垂直不稳定骨折，则应考虑采用两柱的闭合或开放复位及内固定。
