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Tile classification of pelvic ring injuries

vigente

Classifies pelvic ring injuries by stability.

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Escala de categorias
ABC

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Procedência e vigência

Órgão emissor
Orthopedic consensus
Versão
1988
Ano
1988
Família
léxico
Tipo de lógica
flat
Modalidade
CT, XR
Fonte primária
Pelvic ring fractures: should they be fixed? (Tile)
Última verificação
2026-06-26
Última checagem
2026-06-26

Lógica de decisão

Forma estruturada (flat). Uma futura calculadora a lê; as categorias abaixo são a superfície legível.

Mostrar a lógica estruturada (JSON)
{
  "categories": [
    "A",
    "B",
    "C"
  ]
}

Categorias num relance

Cat.SignificadoCondutaRiscoFonte
A
Type A, stable
Stable pelvic ring injury with the posterior sacroiliac complex intact; the ring is both rotationally and vertically stable (e.g. avulsions or minimally displaced ring fractures).		Nonoperative management: stable ring injuries are treated conservatively with protected weight-bearing and analgesia; surgery is generally not required.Lowest-risk pattern: stable pelvic ring injuries carry lower mortality than unstable ones (stable ~7.9% vs unstable ~11.5% in reported series).
okfonte
StatPearls 'Pelvic Ring Injuries' NBK544330, Treatment/Management section (Type A = nonoperative) and reported stable vs unstable mortality (~7.9% vs ~11.5%).
B
Type B, rotationally unstable
Partial disruption of the posterior sacroiliac complex producing a rotationally unstable but vertically stable pelvis (includes open-book/AP and lateral-compression patterns).		Often operative depending on displacement: a pelvic binder/external fixation controls open-book diastasis acutely, and ORIF (e.g. anterior plating/symphyseal fixation) is used for significant rotational instability; minimally displaced patterns may be managed nonoperatively.Intermediate-risk pattern: rotational instability with potential for significant hemorrhage; open-book (AP-compression) injuries can enlarge pelvic volume and bleed.
okfonte
StatPearls 'Pelvic Ring Injuries' NBK544330, Treatment/Management (Type B - binder/external fixation/ORIF by displacement) and hemorrhage discussion.
C
Type C, rotationally and vertically unstable
Complete disruption of the posterior sacroiliac complex producing a pelvis that is both rotationally and vertically unstable (may be unilateral, bilateral, or associated with an acetabular fracture).		Operative management is indicated: resuscitation with a pelvic binder, angiographic embolization or preperitoneal packing for hemodynamic instability, then definitive posterior and anterior fixation (percutaneous SI screws, external fixation, ORIF).Highest-risk pattern: greatest hemorrhage and mortality among pelvic ring injuries; open unstable fractures approach ~50% mortality, and the pelvic venous plexus is the bleeding source in about 80% of cases.
okfonte
StatPearls 'Pelvic Ring Injuries' NBK544330, Treatment/Management (Type C operative, embolization/packing) and risk data (open-fracture mortality ~50%, venous plexus source ~80%, unstable mortality ~11.5%).

Histórico de versões

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Tile. Tile classification of pelvic ring injuries. RadCommons