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A windswept pelvis fracture is a complex bony pelvic injury caused by a combination of unilateral AP compression (open book) injury with a contralateral lateral compression injury.
It occurs when the internal rotation of one iliac wing causes a unilateral sacral compression fracture, while the same forces cause external rotation of the opposite hemipelvis, resulting in diastasis of the sacroiliac joint. This causes the classic “windswept pelvis” appearance.
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