Young and Burgess classification of pelvic ring fractures
Citation, DOI, disclosures and article data
Citation:
Glick Y, Knipe H, Hacking C, et al. Young and Burgess classification of pelvic ring fractures. Reference article, Radiopaedia.org (Accessed on 01 Dec 2024) https://doi.org/10.53347/rID-56868
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56868
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Disclosures:
At the time the article was created Yaïr Glick had no recorded disclosures.
View Yaïr Glick's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.
View Henry Knipe's current disclosures
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4 contributors -
see full revision history and disclosures
Systems:
Sections:
Synonyms:
- Young and Burgess classification of pelvic fractures
- Young-Burgess classification of pelvic ring fractures
- Young-Burgess classification of pelvic fractures
- Young and Burgess classification
- Young-Burgess classification
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.
Classification
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
Combined
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)
Quiz questions
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References
- 1. Khurana B, Sheehan S, Sodickson A, Weaver M. Pelvic Ring Fractures: What the Orthopedic Surgeon Wants to Know. Radiographics. 2014;34(5):1317-33. doi:10.1148/rg.345135113 - Pubmed
- 2. Alton T & Gee A. Classifications in Brief: Young and Burgess Classification of Pelvic Ring Injuries. Clin Orthop Relat Res. 2014;472(8):2338-42. doi:10.1007/s11999-014-3693-8 - Pubmed
- 3. Brent B. Wiesel (M. D.). Skeletal Trauma. (2009) ISBN: 9781455776283 - Google Books
- 4. Marvin Tile, David L. Helfet, James F. Kellam et al. Fractures of the Pelvis and Acetabulum. (2015) ISBN: 9783132006317 - Google Books
- 5. Guthrie H, Owens R, Bircher M. Fractures of the Pelvis. J Bone Joint Surg Br. 2010;92(11):1481-8. doi:10.1302/0301-620X.92B11.25911 - Pubmed
- 6. Halawi M. Pelvic Ring Injuries: Emergency Assessment and Management. J Clin Orthop Trauma. 2015;6(4):252-8. doi:10.1016/j.jcot.2015.08.002 - Pubmed
- 7. Raniga S, Mittal A, Bernstein M, Skalski M, Al-Hadidi A. Multidetector CT in Vascular Injuries Resulting from Pelvic Fractures: A Primer for Diagnostic Radiologists. Radiographics. 2019;39(7):2111-29. doi:10.1148/rg.2019190062 - Pubmed
Incoming Links
Cases:
- Pelvic fractures and pubic diastasis (paediatric)
- Pelvic fractures and medial displacement of the femoral head (paediatric)
- Lateral compression pelvic ring fracture
- Unstable combined pelvic ring fracture
- Vertical shear fracture of the pelvis - Malgaigne fracture
- Lateral compression pelvic ring fracture
- Anteroposterior compression II injury
- Lateral compression 2 pelvic fracture
- Vertical shear injury
- Open book pelvic injury - with follow-up
- Open book pelvic injury
- Open book pelvic injury
- Open book pelvic fracture
- Bilateral acetabular fractures
- Pelvic fractures with active bleeding
- Multitrauma with diaphragmatic rupture and pelvic fractures
Multiple choice questions:
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upper limb fractures
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scapular fracture
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carpal bones
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- pelvic fracture
- sacral fracture
- coccygeal fracture
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hip
- acetabular fracture
- femoral head fracture
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femoral neck fracture
- subcapital fracture
- transcervical fracture
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trochanteric fracture
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- mid-shaft fracture
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