Young and Burgess classification of pelvic ring fractures
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At the time the article was created Yaïr Glick had no recorded disclosures.View Yaïr Glick's current disclosures
At the time the article was last revised Henry Knipe had the following disclosures:
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The Young and Burgess classification is a modification of the earlier Tile classification 1. It is the recommended 5 and most widely used classification system for pelvic ring fractures. It takes into account force type, severity, and direction, as well as injury instability. Three basic mechanistic descriptions are used, each with degrees of severity.
For a broader description of pelvic injury types, see pelvic fractures.
Anteroposterior compression (APC)
APC I: stable
pubic diastasis <2.5 cm
APC II: rotationally unstable, vertically stable
pubic diastasis >2.5 cm
disruption and diastasis of the anterior part of the sacroiliac joint, with intact posterior sacroiliac joint ligaments
APC III: equates to a complete hemipelvis separation (but without vertical displacement); unstable
pubic diastasis >2.5 cm
disruption-diastasis of both anterior and posterior sacroiliac joint ligaments with dislocation
Lateral compression (LC)
Most common type.
LC I: stable
oblique fracture of pubic rami
ipsilateral anterior compression fracture of the sacral ala
LC II: rotationally unstable, vertically stable
fracture of pubic rami
posterior fracture with dislocation of the ipsilateral iliac wing (crescent fracture)
LC III: unstable
ipsilateral lateral compression (LC)
contralateral anteroposterior compression (APC)
Vertical shear (VS)
Most severe and unstable type with a high association of visceral injuries.
vertical displacement of hemipelvis, pubic and sacroiliac joint fractures
Stability depends on the individual components of this injury.
complex fracture, including a combination of anteroposterior compression (APC), lateral compression (LC), and/or vertical shear (VS)
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