Left iliac wing fracture - Duverney fracture
Patient lost consciousness, fall onto her left hip. Tenderness in left hip region, impaired movement of left lower extremity.
Loading Stack -
0 images remaining
A narrow fracture line and slight dislocation is seen on the left iliac wing. Femur is normal without fracture.
1 case question available
In the hip region, femoral neck and trochanteric fractures are most common. Most of the clinical requests and patients focus on femoral fractures.
Pelvic bone fractures - including the pubic bone and iliac wing - are less common, but always should be excluded.
Iliac wing fractures are very uncommon, an isolated iliac wing fracture is a stable benign injury and can can be managed conservatively. Serious and potentially life-threatening associated abdominal, vascular, or neurologic injuries should be excluded.
Special thanks to Balázs Horváth for his contribution.
- Abrassart S, Stern R, Peter R. Morbidity associated with isolated iliac wing fractures. J Trauma. 2009 Jan;66(1):200-3. doi: 10.1097/TA.0b013e31814695ba
- Khurana B, Sheehan SE, Sodickson AD et-al. Pelvic ring fractures: what the orthopedic surgeon wants to know. Radiographics. 2014;34 (5): 1317-33. doi:10.1148/rg.345135113 - Pubmed citation