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Right iliac wing fracture - Duverney fracture

Case contributed by Levente István Lánczi
Diagnosis certain

Presentation

Fallen on his right hip a day before. Tenderness and hematoma at right dorsal ilium. Stable pelvic ring. Pain during right lower extremity movements. No internal organ injury.

Patient Data

Age: 55 years
Gender: Male

Trauma patient 1st admission

x-ray

A slight transparent line is seen on the right iliac crest which is best seen on the AP view.

Enlarged images 1st admission

x-ray

On the magnified images the fracture line is better visible.

Control exam 10 days later

x-ray

Fracture line is more clearly visible on the control images.

Control exam 1 mth later

x-ray

Callus is clearly seen on both projections.

Case Discussion

 

Iliac wing fractures are very uncommon. An isolated iliac wing fracture is a stable benign injury and can be managed conservatively. Serious and potentially life-threatening associated abdominal, vascular and/or neurological injuries should be excluded.

 

 

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