Open book pelvic fracture

Case contributed by Dr Henry Knipe


Crush injury.

Patient Data

Age: 60
Gender: Male

Pelvic binder and overlying dressings are noted. Pubic symphysis diastasis. Right acetabular, and right superior and inferior pubic rami fractures. Sacro-iliac joints are not overtly widened.


Pubic symphysis diastasis. Comminuted fracture of the right ischial tuberosity and displaced fractures of the right inferior and superior pubic rami, extending to the acetabulum. Sacroiliac joints are congruent. Right L4 transverse process fracture. 

Case Discussion

Open book pelvic fractures are a serious injury. They can be life threatening in the context of uncontrollable pelvic bleeding, which may require treatment with emergent pelvic fixation or angio-embolisation. These fractures can also cause urethral injuries. 

PlayAdd to Share

Case information

rID: 45425
Published: 29th May 2016
Last edited: 5th Sep 2017
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.