Tile classification of pelvic fractures
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Citation:
Hacking C, Tile classification of pelvic fractures. Reference article, Radiopaedia.org (Accessed on 01 Jun 2023) https://doi.org/10.53347/rID-83405
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83405
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At the time the article was created Craig Hacking had no recorded disclosures.
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The Tile classification of pelvic fractures is the precursor of the more contemporary Young and Burgess classification of pelvic ring fractures.
It takes into account stability, force direction, and pathoanatomy. The integrity of the posterior arch determines the grade, with the posterior arch referring to all of the pelvis posterior to the acetabulum. Stability is defined as the 'ability of the pelvis to withstand physiologic force without deformation' by the original author 1.
Three basic stability descriptions are used, each with degrees of severity.
Classification
Type A
Stable (posterior arch intact)
- A1: Avulsion injury
- A2: Iliac-wing or anterior-arch fracture due to a direct blow
- A3: Transverse sacrococcygeal fracture
Type B
Partially stable (incomplete disruption of the posterior arch)
- B1: Open-book injury (external rotation)
- B2: Lateral-compression injury (internal rotation)
- B2-1: Ipsilateral anterior and posterior injuries
- B2-2: Contralateral (bucket-handle) injuries
- B3: Bilateral
Type C
Unstable (complete disruption of the posterior arch)
- C1: Unilateral
- C1-1: Iliac fracture
- C1-2: Sacroiliac fracture-dislocation
- C1-3: Sacral fracture
- C1-1: Iliac fracture
- C2: Bilateral, with one side type B, one side type C
- C3: Bilateral
References
- 1. Tile M. Acute Pelvic Fractures: I. Causation and Classification. (1996) The Journal of the American Academy of Orthopaedic Surgeons. 4 (3): 143-151. doi:10.5435/00124635-199605000-00004 - Pubmed
- 2. Sameer B. Raniga, Alok K. Mittal, Mark Bernstein, Matthew R. Skalski, Aymen M. Al-Hadidi. Multidetector CT in Vascular Injuries Resulting from Pelvic Fractures: A Primer for Diagnostic Radiologists. (2019) RadioGraphics. doi:10.1148/rg.2019190062
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