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The diagnosis of pelvic fractures by 'springing'.
  1. P T Grant
  1. Department of Accident and Emergency Medicine, University Hospital of South Manchester, U.K.

    Abstract

    Thirty-six patients were studied prospectively to assess the benefit of 'springing' the pelvis in traumatized patients, to confirm or refute a fracture of the pelvis. None of the patients was multiply injured and half of those with fractures were elderly, sustaining their injuries in simple falls. Springing the pelvis was a poor predictor of the presence or absence of a pelvic fracture, at best it yielded a specificity of 71% and sensitivity of 59%. Its routine use in clinical examination should be abandoned.

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