🦴 Pelvic Fracture Classification (Young-Burgess)
UseUse in pelvic trauma to recognize the fracture pattern and anticipate hemorrhage — distinguishing mechanicall…
SourceCoccolini F, et al. Pelvic trauma: WSES classification and guidelines. World J Emerg Surg 2017.
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Management is hemodynamics-first: unstable patterns with instability proceed through binder → massive transfusion → embolization/packing → fixation, with REBOA when needed. (original synthesis · not guideline verbatim)
When to use
Use in pelvic trauma to recognize the fracture pattern and anticipate hemorrhage — distinguishing mechanically stable patterns (LC-I, APC-I) from unstable ones that may need aggressive hemorrhage control.
How it works
Mechanism-based pattern → stability + bleeding risk. APC-III, VS, and CM are completely unstable with the highest bleeding/transfusion need and mortality; LC-I and APC-I are mechanically stable.
Key points
- Management is hemodynamics-first: unstable patterns with instability proceed through binder → massive transfusion → embolization/packing → fixation, with REBOA when needed. (original synthesis · not guideline verbatim)
- Open-book (APC) injuries widen pelvic volume and predict venous/arterial bleeding; lateral-compression (LC) injuries are often associated with other injuries.
- The Young-Burgess pattern complements the WSES pelvic trauma grading, which emphasizes vascular-injury severity.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Young-Burgess type | LC-I: ipsilateral sacral compression, ligaments intact |
|---|
→Young-BurgessLC-I
- Type：LC-I (mechanically stable (single break point))
- Bleeding risk：low bleeding risk. APC-III, VS, and CM have the highest bleeding/transfusion need and mortality; beware pelvic vascular injury and retroperitoneal hematoma
- Management direction：Stable type: symptomatic analgesia, imaging evaluation, monitoring; usually managed conservatively
| Young-Burgess type | APC-I: pubic symphysis diastasis < 2.5 cm, ligaments intact |
|---|
→Young-BurgessAPC-I
- Type：APC-I (mechanically stable (single break point))
- Bleeding risk：low bleeding risk. APC-III, VS, and CM have the highest bleeding/transfusion need and mortality; beware pelvic vascular injury and retroperitoneal hematoma
- Management direction：Stable type: symptomatic analgesia, imaging evaluation, monitoring; usually managed conservatively
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Pelvic Fracture Classification (Young-Burgess)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Pelvic Fracture Classification (Young-Burgess) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Pelvic Fracture Classification (Young-Burgess) calculated in practice? Can you show a worked example?
- Inputs: Young-Burgess type LC-I: ipsilateral sacral compression, ligaments intact → Result: Young-Burgess LC-I（Type: LC-I (mechanically stable (single break point)), Bleeding risk: low bleeding risk. APC-III, VS, and CM have the highest bleeding/transfusion need and mortality; beware pelvic vascular injury and retroperitoneal hematoma, Management direction: Stable type: symptomatic analgesia, imaging evaluation, monitoring; usually managed conservatively） Inputs: Young-Burgess type APC-I: pubic symphysis diastasis < 2.5 cm, ligaments intact → Result: Young-Burgess APC-I（Type: APC-I (mechanically stable (single break point)), Bleeding risk: low bleeding risk. APC-III, VS, and CM have the highest bleeding/transfusion need and mortality; beware pelvic vascular injury and retroperitoneal hematoma, Management direction: Stable type: symptomatic analgesia, imaging evaluation, monitoring; usually managed conservatively）