Background: Pelvic ring injuries encompass a wide range of traumatic conditions, from stable fractures to complete ring disruptions carrying a significant risk of life-threatening haemorrhage, visceral damage, and long-term disability. The Young–Burgess classification provides a mechanistic framework for stratifying these injuries by force direction and resultant instability, linking radiological pattern to clinical severity. Objective: To document the spectrum of radiological features and management implications of pelvic ring injuries classified by the Young–Burgess system across six emergency cases. Methods: A retrospective case series of six patients presenting to a tertiary emergency department was performed. Anteroposterior pelvic radiographs were used as the primary imaging tool. Results: Three patients exhibited anteroposterior compression patterns (APC I, II, III), two had lateral compression patterns (LC I, LC II), and one demonstrated a vertical shear pattern. Injury severity correlated with the degree of symphysis diastasis, sacroiliac joint involvement, and frequency of associated injuries. Conclusion: Young–Burgess-guided radiograph interpretation offers rapid, clinically meaningful risk stratification in pelvic trauma; computed tomography remains indispensable for comprehensive posterior ring evaluation.
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