What type of associated injuries should be suspected?
Pelvic haematomas +/- active bleeding, and urethral/bladder injuries.
Pubic symphysis distasis with bilateral ischial and inferior pubic rami fractures, and mild widening of the left sacro-iliac joint, in keeping with an "open book" pelvic fracture. Pelvic binder in situ.
Case courtesy Dr Chris Lawson, The Royal Melbourne Hospital.