Malgaigne fracture
Last revised by Leonardo Lustosa ◉ on 2 Aug 2023
Citation, DOI, disclosures and article data
Citation:
Harvey H, Lustosa L, Bickle I, et al. Malgaigne fracture. Reference article, Radiopaedia.org (Accessed on 24 Sep 2023) https://doi.org/10.53347/rID-15001
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rID:
15001
Article created:
12 Sep 2011, Hugh Harvey
Disclosures:
At the time the article was created Hugh Harvey had no recorded disclosures.
View Hugh Harvey's current disclosuresLast revised:
2 Aug 2023, Leonardo Lustosa ◉
Disclosures:
At the time the article was last revised Leonardo Lustosa had no financial relationships to ineligible companies to disclose.
View Leonardo Lustosa's current disclosuresRevisions:
24 times, by 12 contributors - see full revision history and disclosures
Systems:
Synonyms:
- Malgaigne pelvic fracture
- Malgaigne fractures
- Malgaigne pelvic fractures
Malgaigne fracture is an unstable type of pelvic fracture, which involves one hemipelvis, and results from vertical shear energy vectors.
On this page:
Clinical presentation
One of the clinical features is shortening of the leg on the affected side.
Pathology
It comprises of two ipsilateral pelvic ring fractures, which are vertically oriented:
anterior to the acetabulum
posterior to the acetabulum
Most commonly there is disruption of the ipsilateral superior and inferior pubic rami and sacroiliac joint. Common variants involve the ilium or sacral wing rather than the sacroiliac joint. This results in an unstable lateral fragment, which contains the acetabulum.
Associations
Diastasis of the pubic symphysis and urethral injuries may coexist.
Radiographic features
Plain radiograph
AP radiograph of the pelvis will generally demonstrate this pattern of injury. Additional inlet and outlet views can be performed to further demonstrate displacement of the hemipelvis. There is commonly cephalad displacement of the hemipelvis.
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History and etymology
It is named after Joseph-François Malgaigne (1806-1865), a French surgeon.
See also
Quiz questions
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References
- 1. Dähnert W. Radiology Review Manual. Lippincott Williams & Wilkins. (2011) ISBN:1609139437. Read it at Google Books - Find it at Amazon
- 2. Bucholz RW. The pathological anatomy of Malgaigne fracture-dislocations of the pelvis. J Bone Joint Surg Am. 1981;63 (3): 400-4. Pubmed citation
- 3. Dalbayrak S, Ayten M, Özer F et-al. Surgical treatment of a Malgaigne fracture. Ulus Travma Acil Cerrahi Derg.20 (4): 300-4. Pubmed citation
- 4. Semba R, Yasukawa K, Gustilo R. Critical Analysis of Results of 53 Malgaigne Fractures of the Pelvis. The Journal of Trauma: Injury, Infection, and Critical Care. 1983;23(6):535-7. doi:10.1097/00005373-198306000-00016 - Pubmed
- 5. Brandes S & Borrelli J. Pelvic Fracture and Associated Urologic Injuries. World J Surg. 2001;25(12):1578-87. doi:10.1007/s00268-001-0153-x - Pubmed
- 6. Koraitim M. Pelvic Fracture Urethral Injuries: The Unresolved Controversy. J Urol. 1999;161(5):1433-41. doi:10.1016/s0022-5347(05)68918-5
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