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High-energy Lateral Compression Type 1 Injuries of the Pelvis: A Spectrum of Injury.

J Am Acad Orthop Surg

February 2020

From the NYU Langone Orthopedics, NYU Langone Health, New York, NY (Dr. Tejwani and Dr. Stevens) and the Carolinas Medical Center, Department of Orthopedics, Charlotte, NC (Dr. Ganta).

Lateral compression type 1 pelvic fractures comprise a spectrum of injuries of varying stability. The clinician should be cognizant of signs and symptoms of instability including complete sacral fractures, bilateral ramus fractures, displacement greater than 1 cm, high-energy mechanism, and inability to bear weight. Management of these injuries is controversial, but the clinician should consider examination under anesthesia and potentially surgical stabilization.

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