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Title: Manual stability testing for pelvic fractures

Category: Trauma

Keywords: Pelvic fracture, EMS (PubMed Search)

Posted: 1/25/2026 by Robert Flint, MD (Updated: 7/21/2026)

A reminder from a recent position paper on pelvic trauma that we should not be doing stability testing to evaluate pelvic trauma  

“EMS clinicians should recognize the challenges in accurately identifying pelvic fractures by physical exam alone. Manual stability testing of the pelvis is neither sensitive nor specific and may cause harm.”

References

Lyng, J. W., Corsa, J. G., Raetzke, B. D., Wilson, B. R., McCoy, A., Patterson, S. C., … Bosson, N. (2025). Prehospital Trauma Compendium: Evaluation and Management of Suspected Pelvis Fractures – An NAEMSP Position Statement and Resource Document. Prehospital Emergency Care, 1–35. https://doi.org/10.1080/10903127.2025.2540420


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