{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,15]],"date-time":"2026-11-15T03:00:38Z","timestamp":1794711638236,"version":"4.9.1"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11]]},"abstract":"\n Objectives:<\/jats:title>\n To determine if pelvic ring displacement on the lateral stress radiograph (LSR) correlated with displacement on examination under anesthesia (EUA).<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Retrospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Urban Level I trauma center.<\/jats:p>\n <\/jats:sec>\n \n Patients\/Participants:<\/jats:title>\n Twenty consecutive patients with unilateral minimally displaced LC1 injuries with complete sacral fractures.<\/jats:p>\n <\/jats:sec>\n \n Intervention:<\/jats:title>\n An anteroposterior pelvis radiograph taken in the lateral decubitus position (LSR) was performed on awake patients before EUA in the operating room.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measurements:<\/jats:title>\n Correlation between \u22651 cm of pelvic ring displacement on the LSR and EUA.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The LSR demonstrated \u22651 cm of displacement in 11 of the 20 patients (55%). All of these patients had \u22651 cm of displacement on EUA and underwent surgical fixation. The remaining 9 patients with <1 cm of displacement on the LSR also had <1 cm of displacement on EUA and were managed nonoperatively.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The LSR reliably identified occult instability in LC1 pelvic ring injuries and demonstrated 100% correlation with EUA. In contrast to EUA, the LSR does not require sedation and normalizes the amount of force applied to determine instability.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence:<\/jats:title>\n Diagnostic Level II. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/bot.0000000000001805","type":"journal-article","created":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T19:56:38Z","timestamp":1588967798000},"page":"567-571","source":"Crossref","is-referenced-by-count":51,"title":["The Lateral Stress Radiograph Identifies Occult Instability of Lateral Compression Pelvic Ring Injuries Without Sedation"],"prefix":"10.1097","volume":"34","author":[{"given":"Joshua A.","family":"Parry","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motasem","family":"Salameh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hamad General hospital, Hamad medical Corporation, Doha, Qatar."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael H.","family":"Maher","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen C.","family":"Stacey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyril","family":"Mauffrey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado School of Medicine, Denver, CO; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1302\/0301-620X.70B1.3276697","article-title":"Pelvic ring fractures: should they be fixed?","volume":"70","author":"Tile","year":"1988","journal-title":"J Bone Joint Surg Br."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1148\/radiology.160.2.3726125","article-title":"Pelvic fractures: value of plain radiography in early assessment and management","volume":"160","author":"Young","year":"1986","journal-title":"Radiology."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1016\/j.injury.2019.04.002","article-title":"Quality of life after pelvic ring fractures: long-term outcomes. 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