Pubic rami fracture

Case contributed by Kevan English
Diagnosis certain

Presentation

Sudden onset of groin pain following motor vehicle collision.

Patient Data

Age: 45 years
Gender: Female

One view of the pelvis

x-ray

Acute highly comminuted fractures of the left inferior and superior pubic rami.

Acute displaced fracture of the left ilium with intra-articular extension to the left sacroiliac joint.

No suspicious osseous lytic or blastic lesions.

Moderate colonic stool burden.

Bone density is normal for age.

Case Discussion

This is a case of a pelvic fracture. The patient presented to the emergency department with left groin pain after a motor vehicle collision. An x-ray of the pelvis revealed comminuted fractures of the left pubic rami. After stabilization, the patient underwent surgical treatment.

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