Abstract
The innominate bone is structured as a ring formation corresponding to its main function to transfer the body load from the spine to the upper extremities. The two iliac bones and the dorsally trapped sacrum build the osseous frame, connected by the sacroiliac joint and the symphysis. By inclination of the pelvic in the horizontal plane (60°) and by the S-shaped erection of the spine in the lateral plane, the balance point of the body positioned vertically lies in front of the spine. Thereby, a Y-shaped load transmission from the pelvis to the upper extremities occurs. By the interaction of musculature, ligamentous structures, and bony components, the load capacity of the pelvis is guaranteed. Biomechanically, the pelvis can be divided into an anterior and posterior ring segment, whereby the posterior sacroiliac ligaments are of main importance for the stability of the pelvic ring.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literature
Bircher MD (1996) Indication and technique of external fixation of the injured pelvis. Injury 27(Suppl 2):3
Breitner R (1993) Traumatologie 2, Band 9. Urban & Schwarzenbeck, München
Ganz R, Krushell R, Jakob R, Küffen J (1991) The antishock pelvic clamp. Clin Orthop 267:71
Grützner PA, Rose E, Vock B, Holz F, Nolte LP, Wentzensen A (2002) Computer-assistierte perkutane Verschraubung des hinteren Beckenringes. Unfallchirurg 105:254
Isler B, Ganz R (1996) Classification of pelvic ring injuries. Injury 27(Suppl 1):3
Käch K, Trentz O (1994) Distraktionsspondylodese des Sacrums bei “vertical-shear Läsionen” des Beckens. Unfallchirurg 97:28
Kremer K, Lierse W, Platzer W, Schreiber HW, Weller S (1997) Chirurgische Operationslehre, Band 8. Schädel, Haltungs- und Bewegungsapparat Posttraumatische Defekt- und Infektsanierung, Schädel, Wirbelsäule, Becken. Thieme, Stuttgart
Letournel E, Judet R (1993) Fractures of the acetabulum, 2nd edn. Springer, Berlin
Matta J (1994) Operative treatment of acetabular fractures through the ilioinguinal approach. Clin Orthop 305:10
Matta J, Meritt PO (1988) Displaced acetabular fractures. Clin Orthop 230:83
Tile M, Burr C, Poigenfürst J (1991) Pelvis. In: Müller M, Allgöwer M, Schneider R, Willenegger H (eds) Manual of internal fixation, 3rd edn. Springer, Berlin
Pennal G, Tile M, Waddel J, Garside H (1980) Pelvic disruptions: assessment and classification. Clin Orthop 151:12
Pohlemann T, Gänsslen A, Schellwald O, Culemann U, Tscherne H (1996) Outcome after pelvic ring injuries. Injury 27(Suppl 2):31
Pohlemann T, Tscherne H, Baumgärtel F, Egbers HJ, Euler E, Maurer F, Fell M, Mayr E, Quirini WW, Schlickewei WW, Weinberg A (1996) Beckenverletzungen: Epidemiologie. Therapie und Langzeitverlauf. Unfallchirurg 99:160
Putz R, Müller-Gerbel M (1992) Anatomische Besonderheiten des Beckenringes. Unfallchirurg 95:164
Rüter A, Trentz O, Wagner M (1995) Unfallchirurgie. Urban & Schwarzenbeck, München
Tile M (1996) Acute pelvic fractures: I. Causation and classification. J Am Acad Orthop Surg 4:143
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Wirbel, R., Pohlemann, T. (2014). Pelvic and Acetabular Fractures. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) Bone and Joint Injuries. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38388-5_17
Download citation
DOI: https://doi.org/10.1007/978-3-642-38388-5_17
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-38387-8
Online ISBN: 978-3-642-38388-5
eBook Packages: MedicineMedicine (R0)