Abstract
Thirty-six patients were studied prospectively to assess the benefit of 'springing' the pelvis in traumatized patients, to confirm or refute a fracture of the pelvis. None of the patients was multiply injured and half of those with fractures were elderly, sustaining their injuries in simple falls. Springing the pelvis was a poor predictor of the presence or absence of a pelvic fracture, at best it yielded a specificity of 71% and sensitivity of 59%. Its routine use in clinical examination should be abandoned.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Carter M. C. A reliable sign of fractures of the hip or pelvis. N Engl J Med. 1981 Nov 12;305(20):1220–1220. doi: 10.1056/NEJM198111123052015. [DOI] [PubMed] [Google Scholar]
- Champion H. R., Sacco W. J., Carnazzo A. J., Copes W., Fouty W. J. Trauma score. Crit Care Med. 1981 Sep;9(9):672–676. doi: 10.1097/00003246-198109000-00015. [DOI] [PubMed] [Google Scholar]
- Rothenberger D. A., Fischer R. P., Strate R. G., Velasco R., Perry J. F., Jr The mortality associated with pelvic fractures. Surgery. 1978 Sep;84(3):356–361. [PubMed] [Google Scholar]
- Sotos J. G. Diagnosis of fractures of the hip or pelvis (continued) N Engl J Med. 1983 Apr 21;308(16):971–971. doi: 10.1056/NEJM198304213081623. [DOI] [PubMed] [Google Scholar]