AJR. American journal of roentgenology
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AJR Am J Roentgenol · Dec 2016
Randomized Controlled TrialCan MDCT Unmask Instability in Binder-Stabilized Pelvic Ring Disruptions?
Pelvic binders may hinder radiologic assessment of pelvic instability after trauma, and avulsive injuries can potentially unmask instability in this setting. We compare the performance of MDCT for the detection of pelvic disruptions in patients with binders to a matched cohort without binders, and we assess the utility of avulsive injuries as signs of pelvic instability. ⋯ Evaluation for avulsive signs improves MDCT sensitivity for the detection of rotational instability but not vertical instability in patients with binders.