The direction of force impact, lateral or frontal crash force, was estimated from the mechanism of pelvic fracture (PF) and related to the pattern of organ injuries, physiologic consequences and outcomes in 197 motor vehicle accident (MVA) patients who had all sustained a PF. These data showed that injuries due to anterior- posterior compression (APC) (frontal crashes) were associated with injuries of major severity to the bony pelvis with major retroperitoneal bleeding and massive volume loss shock.
Abstract