Radiography, anatomy and imaging in pelvic fractures

Pelvic fractures are one of the leading causes of morbidity and mortality in the multiply injured patient. It is important to establish the pattern of fracture as early as possible. To do this efficiently, the correct imaging should be used. Using a combination of simple and modified plain radiography alongside computed tomography scans it is possible to clearly delineate the fracture pattern and likely direction of energy transfer through the pelvis. Pelvic ring injuries signify a significant insult and are associated with urogynaecological, colorectal and vascular trauma alongside the musculoskeletal trauma. This article provides a basis upon which orthopaedic surgeons may utilize and scrutinize pelvic imaging prior to, during and post-surgical fixation.