Indications for and Potential Benefits of Pelvis Stress Radiographs in Lateral Compression Injuries: What is the Supporting Evidence? State of the Art Review.

Abstract

Lateral compression pelvic fractures represent a spectrum of injuries with a range instability. Dynamic pelvic stress examinations (DPSE) including exam under anesthesia and lateral stress radiographs offer the potential advantage of more accurately identifying patients who may benefit from surgery to decrease malunion and improve clinical outcomes. This article examines the current literature on DPSE and critically analyzes the validity of its role in indicating patients for surgery. In addition, recommendations on the use of DPSE in clinical practice based on the current literature and surgeon experience are provided.