Stress Radiography for Pelvic Ring Injuries

Exclusion Criteria

• •Volume expanding pelvic ring injury (Young-Burgess APC-2 and 3, LC-3, vertical shear, and combined mechanism of injury (CMI) (Tile B and C patterns; OTA codes 61-B and 61-C).
• •Volume expanding pelvic ring injury injuries represent the types of pelvic ring disruption responsible for pelvic hemorrhage and hypotension and are correlate with patient hemodynamic instability as well as critical injuries
• •Volume expanding pelvic ring injury injuries warrant stabilization with circumferential pelvic compression.
• •Patients with volume expanding pelvic ring injury are not clinically appropriate for this study.
• •Hemodynamic instability or hypotension angioembolization (AE), preperitoneal pelvic packing (PPP), or Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) to obtain or maintain hemodynamic stability
• •Bladder, vaginal, rectal, colonic, or other abdominal or pelvic organ injury precluding safe application of circumferential pelvic compression device
• •Patient likely to have severe problems with maintaining follow- up due to at least one of the following:
• •Patient has been diagnosed with a severe psychiatric condition
• •Patient is intellectually challenged without adequate family support
• •Patient lives outside the hospital's catchment area
• •Follow-up is planned at another medical center
• •Patients who are prisoners or homeless