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
X-ray

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

CT

Fractures confirmed with CT.

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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