Pubic rami fractures are a subgroup of pelvic fractures. Pelvic fractures are related to pelvic trauma with a risk of grave hemorrhage. If a pelvic fracture is suspected, proper physical examination and radiographic studies are extremely important.

The initial radiograph performed on this case was suboptimal, with many metallic artifacts and the transport board difficulting the exam interpretation. The zipper on the patient's pants did not allow for proper assessment of the left superior pubic ramus, which was confirmed by CT.