Open book pelvic injury

Last revised by Ian Bickle on 11 Aug 2022

Citation, DOI, disclosures and article data

Citation:

Abbasi B, Bickle I, Lustosa L, et al. Open book pelvic injury. Reference article, Radiopaedia.org (Accessed on 08 Dec 2023) https://doi.org/10.53347/rID-20543

DOI:

https://doi.org/10.53347/rID-20543

Permalink:

https://radiopaedia.org/articles/20543

rID:

20543

Article created:

24 Nov 2012, Bita Abbasi

Disclosures:

At the time the article was created Bita Abbasi had no recorded disclosures.

View Bita Abbasi's current disclosures

Last revised:

11 Aug 2022, Ian Bickle ◉

Disclosures:

At the time the article was last revised Ian Bickle had no recorded disclosures.

View Ian Bickle's current disclosures

Revisions:

20 times, by 10 contributors - see full revision history and disclosures

Systems:

Musculoskeletal, Trauma

Sections:

Classifications

Tags:

pelvis, pelvic, trauma, core condition

Synonyms:

Open book fracture of the pelvis
Open book fracture of pelvis
Pelvic open book fractures
Open book fractures
Pelvic open book fracture
Open book fractures of pelvis
Open book fractures of the pelvis
Open book fracture
Open book pelvic injuries

Open book pelvic injuries are most often the result of high-energy trauma and are associated with significant morbidity and mortality due to associated vascular injuries.

Pathology

Open book pelvic injuries result from an anteroposterior compression injury to the pelvis and result in a combination of ligamentous rupture and/or fractures to both the anterior and posterior arches ⁵:

anterior arch: pubic diastasis (+/- sacrotuberous/sacrospinous ligamentous disruption) and/or pubic rami fractures
posterior arch: sacroiliac joint widening or diastasis; posterior ilium fractures; sacral ala fractures