Bishop and Routt systematically define pelvic osseous fixation pathways (OFPs) — named corticated bony corridors that accommodate screws for pelvic and acetabular fracture fixation. For each pathway, the paper describes the three-dimensional osteology, the specific fluoroscopic views required to image it safely, and the clinical indications for its use.
When planning percutaneous pelvic fixation, use this OFP framework to select the corridor before the case and identify the specific fluoroscopic views required — generic AP pelvis imaging is insufficient for safe intraosseous navigation in any of these pathways.
When you encounter apparent intraosseous screw placement on two standard views in the superior pubic ramus, consider that an anteriorly directed implant can still be extraosseous through the pectineal or iliopsoas recess.
Bishop and Routt systematically define pelvic osseous fixation pathways (OFPs) — named corticated bony corridors that accommodate screws for pelvic and acetabular fracture fixation. For each pathway, the paper describes the three-dimensional osteology, the specific fluoroscopic views required to image it safely, and the clinical indications for its use.
When planning percutaneous pelvic fixation, use this OFP framework to select the corridor before the case and identify the specific fluoroscopic views required — generic AP pelvis imaging is insufficient for safe intraosseous navigation in any of these pathways.
When you encounter apparent intraosseous screw placement on two standard views in the superior pubic ramus, consider that an anteriorly directed implant can still be extraosseous through the pectineal or iliopsoas recess.