Open book pelvic injury

Case contributed by Dr Andrew Dixon


High speed car accident.

Patient Data

Age: 35
Gender: Male

Trauma Series

Open book pelvic injury with diastasis of the pubic symphysis and widening of the right sacro-iliac joint. The pubic diastasis partially reduces following application of a pelvic binder despite it being somewhat superiorly located compared to the ideal position around the greater trochanters. 


Post op

Internal plate and screw fixation of the pubic symphysis and screw through the right sacro-iliac joint. Anatomic alignment is restored. 

Case Discussion

This case demonstrates the appearance of an open book pelvic injury and how application of a pelvic binder can partly restore alignment which can help minimise pelvic bleeding although the evidence base for this is currently limited. 

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Case information

rID: 31718
Published: 23rd Oct 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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