Authors’ conclusions: using the clinical findings of: 1) lack of lower extremity injuries, 2) lack of an abnormal physical pelvis examination, and 3) no need for abdominopelvic computerized tomography, pelvic fracture can be reliably excluded. Pelvic radiography can be eliminated in the evaluation of these patients, potentially decreasing time expenditure, radiation exposure, and cost.
Reviewers’ commentary: the risk of pelvic fracture in children with blunt trauma is very low, especially if there are no lower extremity injuries, the physical examination of the pelvis is normal and there is no need for abdominopelvic computerized tomography. It seems questionable the systematic implementation of pelvic radiography in these patients. However, it is necessary to validate these predictors of low risk in new independent and sufficiently numerous samples of patients before incorporating them to our clinical practice guidelines.