Malgaigne fracture

Case contributed by Dr Alexandra Stanislavsky

Presentation

Motor vehicle accident. Left leg looks a little shorter than the right.

Patient Data

Age: 25
Gender: Male
Modality: X-ray

There are fractures of the superior and inferior left pubic rami, as well as through the left sacrum.

Modality: CT

Fractures confirmed with CT.

Modality: Annotated image

Annotation highlights sites of fracture.

Case Discussion

A Malgaigne fracture comprises of disruption of superior and inferior pubic rami and the ipsilateral sacroiliac joint, or as variants - the ipsiolateral sacral wing (as in this case) or ileum.  This results in an essentially disconnected hemipelvis, and is regarded as an unstable injury.

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Case Information

rID: 20432
Case created: 20th Nov 2012
Last edited: 8th Feb 2016
Inclusion in quiz mode: Included

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