{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:02:40Z","timestamp":1770753760640,"version":"3.50.0"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Introduction Isolated pelvic fractures are relatively rare with an incidence of 3\u200a\u2013\u200a6% of all fractures, but their incidence in polytraumatized individuals increases to 25%. The S3 guideline Polytrauma gives a clear recommendation for diagnostics by means of pelvic radiography (X-ray) and computed tomography (CT). A recommendation for the diagnosis by means of magnetic resonance tomography (MRI) especially in patients with low energetic\/missing trauma does not currently exist. It is unclear on the basis of which criteria the MRI can be indicated in pelvic fractures. The aim of our study was therefore to retrospectively record indications for the indication of MRI in pelvic fractures \u2013 with adequate as well as inadequate trauma.<\/jats:p><jats:p>Material and Methods In a retrospective clinical study, a total of 140 patients (median 68 years, range 15\u200a\u2013\u200a97, 75 female, and 66 male) with a pelvic fracture were included in the study over a period of three years. Overall, the trauma mechanism revealed 73 adequate and 67 inadequate fractures. 31\/140 patients had undergone MRI of the pelvis in addition to a CT\/X-ray scan. The two subgroups \u201cwith MRI\u201d and \u201cwithout MRI\u201d were analyzed with regard to the parameters \u201csex\u201d, \u201cage\u201d, \u201cadequacy of the trauma\u201d, \u201cfracture localization\u201d, \u201cduration of admission to imaging\u201d, \u201ctype of therapy\u201d and \u201cduration to surgery\u201d compared.<\/jats:p><jats:p>Results It was shown that the MRI diagnosis was performed especially in female, elderly patients (81 years, range 19\u200a\u2013\u200a94 years). Patients with inappropriate trauma have received MRI more frequently (74%) than patients with adequate trauma (26%). With regard to fracture localization no differences could be shown. The MRI was performed on a median 4 days after the CT examination. Regarding the decision \u201cconservative\u201d vs. \u201coperationally\u201d our two groups without and with MRT tended to differ not. Patients with MRI were operated on median 2 days later than patients who did not receive MRI.<\/jats:p><jats:p>Conclusions Pelvic fracture MRI should be performed primarily in elderly female patients without adequate trauma. In patients with adequate trauma, MRI is of low value, especially as MRI diagnostics are performed with delay, resulting in later surgery.<\/jats:p>","DOI":"10.1055\/a-0965-7589","type":"journal-article","created":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T22:45:58Z","timestamp":1568846758000},"page":"351-359","source":"Crossref","is-referenced-by-count":7,"title":["Magnetic Resonance Imaging in Pelvic Fractures \u2013 Part 1: Which Criteria Lead Us to Supplementary MRI Diagnostics?"],"prefix":"10.1055","volume":"158","author":[{"given":"Patricia","family":"Lang","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie und Orthop\u00e4die, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Merz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie und Orthop\u00e4die, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten","family":"Hackenbroch","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Radiologie und Neuroradiologie, Bundeswehrkrankenhaus Ulm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedikt","family":"Friemert","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie und Orthop\u00e4die, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabian","family":"Stuby","sequence":"additional","affiliation":[{"name":"BG Unfallklinik Murnau"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans-Georg","family":"Palm","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie und Orthop\u00e4die, Rekonstruktive und Septische Chirurgie, Sporttraumatologie, Bundeswehrkrankenhaus Ulm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"AG Becken III der DGU\u00ae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,9,18]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s10140-016-1476-0","article-title":"CT characteristics of traumatic sacral fractures in association with pelvic ring injuries: correlation using the Young-Burgess classification system","volume":"24","author":"N Beckmann","year":"2017","journal-title":"Emerg Radiol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1007\/s00104-012-2339-1","article-title":"Osteoporotische Frakturen des Beckens","volume":"83","author":"J B\u00f6hme","year":"2012","journal-title":"Chirurg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1177\/2151458515616250","article-title":"A nationwide analysis of pelvic ring 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