Young and Burgess classification of pelvic fractures

LC: anterior injury = rami fractures

LC I: sacral fracture on side of impact

LC II: crescent fracture on side of impact

LC III: type I or II injury on side of impact with contralateral open book injury

AP compression (APC): anterior injury = symphysis diastasis/rami fractures

APC I: minor opening of symphysis and SI joint anteriorly

APC II: opening of anterior SI, intact posterior SI ligaments

APC III: complete disruption of SI joint

Vertical shear (VS) type:

Vertical displacement of hemipelvis with symphysis diastasis or rami fractures anteriorly, iliac wing, sacral facture, or SI dislocation posteriorly

Combined mechanism (CM) type: any combination of above injuries

Young_Burgess_fx_scheme.htm

Reproduced with permission from: Sagi C. Lower extremity: Pelvic ring fractures. In: Rockwood and Green's Fractures in Adults, 7th ed, Bucholz RW, Court-Brown CM, Heckman JD, Tornetta P (Eds), Lippincott Williams & Wilkins, Philadelphia 2010. Copyright © 2010 Lippincott Williams & Wilkins. www.lww.com.

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Young and Burgess classification of pelvic fractures