Young-Burgess Young and Burgess classification of pelvic ring injuries

vigente

Classifies pelvic ring injuries by mechanism.

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Escala de categorias

LC APC VS CM

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Procedência e vigência

Órgão emissor: Radiology consensus
Versão: 1990
Ano: 1990
Família: léxico
Tipo de lógica: flat
Modalidade: CT, XR
Fonte primária: Pelvic ring disruptions: mechanism of injury classification (Young and Burgess)
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": [
    "LC",
    "APC",
    "VS",
    "CM"
  ]
}

Categorias num relance

Cat.	Significado	Conduta	Risco	Fonte
LC	Lateral compression Lateral compression: a side-directed force that internally rotates the hemipelvis, typically producing a transverse/oblique anterior ring fracture with an ipsilateral posterior (sacral) injury; the most common mechanism and generally the more stable pattern (subtypes LC1 anterior sacral compression, LC2 crescent fracture, LC3 contralateral AP injury).	LC1 is typically stable and managed non-operatively; LC2 and LC3 are unstable and generally require fixation. Use caution with pelvic binders, which can over-compress an internally rotated (LC) pelvis and injure other structures.	Generally the more stable, lower-hemorrhage pattern; closed head injury (not pelvic bleeding) is the most common cause of death in LC injuries. Stable patterns carry ~7.9% mortality versus ~11.5% for unstable patterns.	okfonte Evaluation > Classification (Young and Burgess classification); Treatment/Prognosis (LC1 stable/non-operative, LC2-3 unstable; binder over-compression caution; head injury leading cause of LC mortality; ~7.9% vs ~11.5% mortality stable vs unstable)
APC	Anteroposterior compression Anteroposterior compression: a front-to-back force that externally rotates the hemipelvis, opening the symphysis (open-book pattern) with progressive disruption of the sacrospinous, sacrotuberous, and sacroiliac ligaments; associated with hemorrhage (APC1 minor symphysis widening, APC2 >2.5 cm opening with anterior SI ligament disruption, APC3 complete anterior and posterior SI disruption).	APC1 is minimally unstable; APC2 and APC3 are progressively unstable and require fixation. A pelvic binder can help reduce open-book volume acutely; angioembolization is considered for ongoing arterial bleeding.	Higher hemorrhage risk; the superior gluteal artery is most frequently injured in APC patterns. Unstable patterns carry higher mortality (~11.5%) than stable ones (~7.9%).	okfonte Evaluation > Classification (Young and Burgess classification); Treatment/Prognosis (APC1 minimally unstable, APC2-3 require fixation; superior gluteal artery most affected; ~11.5% mortality unstable vs ~7.9% stable)
VS	Vertical shear Vertical shear: an axially directed force producing vertical displacement of the hemipelvis with complete ligamentous disruption, representing complete (rotational and vertical) instability.	Completely unstable; requires operative stabilization, with a pelvic binder considered in the hemodynamically unstable patient for temporary stabilization.	Complete instability with high associated hemorrhage and injury burden; falls in the unstable group with the higher (~11.5%) mortality.	okfonte Evaluation > Classification (Young and Burgess classification); Treatment/Prognosis (vertical displacement = complete instability, operative management, binder if hemodynamically unstable; unstable-group mortality ~11.5%)
CM	Combined mechanism Combined mechanism: any combination of the lateral compression, anteroposterior compression, and vertical shear force patterns.	No distinct treatment pathway; managed according to its component patterns (stability, fixation, and resuscitation needs of the dominant injuries).	Risk reflects the component patterns; unstable combinations align with the higher (~11.5%) mortality of unstable pelvic ring injuries.	okfonte Evaluation > Classification (Young and Burgess classification); Treatment/Prognosis (combined patterns managed per component; unstable-injury mortality ~11.5%)

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