Pelvic Fracture Classification (Young-Burgess) — free guideline decision tool
This tool classifies pelvic fractures by the Young-Burgess system (APC/LC/VS/CM), which links injury mechanism to pelvic-ring stability and bleeding risk.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
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No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Young-Burgess type | APC-I: pubic symphysis diastasis < 2.5 cm, ligaments intact |
|---|
→Young-BurgessAPC-I
- Type：APC-I (mechanically stable (single break point))
- Bleeding risk：low bleeding risk. APC-III, VS, and CM have the highest bleeding/transfusion need and mortality; beware pelvic vascular injury and retroperitoneal hematoma
- Management direction：Stable type: symptomatic analgesia, imaging evaluation, monitoring; usually managed conservatively
| Young-Burgess type | CM: combined mechanism |
|---|
→Young-BurgessCM
- Type：CM (completely unstable (massive injury))
- Bleeding risk：high bleeding risk. APC-III, VS, and CM have the highest bleeding/transfusion need and mortality; beware pelvic vascular injury and retroperitoneal hematoma
- Management direction：Unstable + hemodynamically unstable: pelvic binder/external fixation + massive transfusion protocol + angioembolization or extraperitoneal packing, REBOA if needed; early definitive fixation
Common questions
What is Pelvic Fracture Classification (Young-Burgess)?
This tool classifies pelvic fractures by the Young-Burgess system (APC/LC/VS/CM), which links injury mechanism to pelvic-ring stability and bleeding risk.
How is Pelvic Fracture Classification (Young-Burgess) calculated? What is the core formula?
Mechanism-based pattern → stability + bleeding risk. APC-III, VS, and CM are completely unstable with the highest bleeding/transfusion need and mortality; LC-I and APC-I are mechanically stable.
When is Pelvic Fracture Classification (Young-Burgess) used?
Use in pelvic trauma to recognize the fracture pattern and anticipate hemorrhage — distinguishing mechanically stable patterns (LC-I, APC-I) from unstable ones that may need aggressive hemorrhage control.
What are the key clinical points for Pelvic Fracture Classification (Young-Burgess)?
Management is hemodynamics-first: unstable patterns with instability proceed through binder → massive transfusion → embolization/packing → fixation, with REBOA when needed. (original synthesis · not guideline verbatim) Open-book (APC) injuries widen pelvic volume and predict venous/arterial bleeding; lateral-compression (LC) injuries are often associated with other injuries. The Young-Burgess pattern complements the WSES pelvic trauma grading, which emphasizes vascular-injury severity.
What are the limits and cautions when using Pelvic Fracture Classification (Young-Burgess)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is Pelvic Fracture Classification (Young-Burgess) calculated in practice? Can you show a worked example?
Inputs: Young-Burgess type APC-I: pubic symphysis diastasis < 2.5 cm, ligaments intact → Result: Young-Burgess APC-I（Type: APC-I (mechanically stable (single break point)), Bleeding risk: low bleeding risk. APC-III, VS, and CM have the highest bleeding/transfusion need and mortality; beware pelvic vascular injury and retroperitoneal hematoma, Management direction: Stable type: symptomatic analgesia, imaging evaluation, monitoring; usually managed conservatively） Inputs: Young-Burgess type CM: combined mechanism → Result: Young-Burgess CM（Type: CM (completely unstable (massive injury)), Bleeding risk: high bleeding risk. APC-III, VS, and CM have the highest bleeding/transfusion need and mortality; beware pelvic vascular injury and retroperitoneal hematoma, Management direction: Unstable + hemodynamically unstable: pelvic binder/external fixation + massive transfusion protocol + angioembolization or extraperitoneal packing, REBOA if needed; early definitive fixation）
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This tool classifies pelvic fractures by the Young-Burgess system (APC/LC/VS/CM), which links injury mechanism to pelvic-ring stability and bleeding risk.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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