PubMed · 6347814
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B Rüttimann. 1983. [Hippocratic "vertebral dislocation"].. https://pubmed.ncbi.nlm.nih.gov/6347814/
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3-dimensional computerized imaging is a relatively new radiologic modality. The transformation of bi-plane CT images into 3-dimensions, enables the physician to rotate the desired region to any viewing angle. In complex anatomic regions such as the pelvis, it offers better visualization of lesions, avoids having to rotate the patient, and reduces the need for X-rays and exposure to radiation. Our preliminary results with this modality in 3 cases of complex fractures of the pelvis are presented.
Paramilitary punishments in Northern Ireland traditionally involved shooting in the limbs with low-velocity handguns. During the recent IRA ceasefire they were replaced with beatings by clubs and similar objects. We carried out a retrospective review of patients who had suffered punishment beatings who presented to the Royal Victoria Hospital, Belfast. Patients were more likely to have fractures and more severe soft-tissue injuries. The time spent in hospital was often longer, and there was a greater chance of requiring operations (often multiple).
Advances in the operative stabilization of pelvic ring injuries, particularly by the development of special surgical techniques and implants, call for clear indications. These require the thorough analysis of the injury and its classification. Classification systems facilitate communication and the comparison of treatment concepts and results. Although a number of classification systems have been proposed, none of them has found universal acceptance. The following is a proposal for a comprehensive classification of pelvic ring injuries which, at the same time, accommodates the requirements of the AO/ASIF classification guidelines. The proposal is based primarily on radiographic morphology and secondarily on certain deductions made from it pertaining to the pathomechanics of the injury. To accommodate the extremely wide variety of possibilities, an open system was created by dividing the pelvic ring into anterior and posterior ring segments. Lesions of both segments can be freely combined for the definition of any given pelvic ring injury.