Open book pelvic fracture

Case contributed by Dr Henry Knipe

Presentation

Crush injury.

Patient Data

Age: 60
Gender: Male
X-ray

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.

CT

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. 

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Case information

rID: 45425
Case created: 24th May 2016
Last edited: 14th Apr 2017
Inclusion in quiz mode: Included

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