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anterior region of the pelvis is typical in patients with residual pelvic instability after a pelvic fracture due to anteroposterior compression. 22 This pain may be due to the instability of the injured hemipelvis during load transfer, and in evolved
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high peak loads between the rider’s pelvis and the motorcycle fuel tank. In one study, 85% of the pelvic injuries sustained by the patient were due to this type of mechanism. 24 The injuries most commonly associated with this injury mechanism
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entire pelvis can be visualized with a single fluoroscopic image. 7 , 8 Furthermore, because of a slimmer detector form, the ‘source to image distance’ is increased, leading to more workspace (⩽ 93 cm) for the surgeon and minimally invasive
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extremely complex and demands extensive expertise, especially in treating high-risk groups such as women, individuals with rheumatoid arthritis, and patients with a history of radiation therapy to the pelvis ( 3 , 4 ). Due to the continuously increasing
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ischemia ( 19 , 20 ). It was initially described for complex cases of ABC, such as the pelvis, spine, and sacrum. Currently, selective arterial embolization is mainly used in association with sclerotherapy or as a neoadjuvant to surgery ( 13 , 21
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, UK
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NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK
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with vertebral compression fracture. 37 Radiological Plain radiographs (anteroposterior [AP] pelvis, inlet/outlet views) are the first line of investigation, but could miss up to 50% of sacral fractures. Inlet and outlet views could be
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surrogate marker for pelvic position. APP is identified by joining three bony landmarks in the pelvis: both anterior superior iliac spines (ASIS) and the symphysis pubis, as described by Robinson et al in 1922. 11 Lewinneck used a three-legged jig
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1990s by Radermacher et al 10 for pedicle screw placement, total knee arthroplasty, decompression of the cervical spine and triple osteotomy of the pelvis. Several weeks prior to surgery, a CT or a MRI scan is taken of the patient’s bone. Using a
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joint degeneration, acetabular coverage, acetabular version and gross anatomy of the pelvis. 5 To detect accompanying cam deformities, which are typically located anterosuperiorly, an axial view is needed. In the absence of severe joint space
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possible by any described methods, salvage procedures are opted. Radiological assessment Complete radiographic evaluation of the hip is essential before any hip osteotomy. It includes a standardized pelvis anteroposterior (AP) view, frog-leg lateral
