Open book pelvic injury

Case contributed by Dr Andrew Dixon

Presentation

High speed car accident.

Patient Data

Age: 35
Gender: Male

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X-ray

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. 

X-ray

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
Case created: 23rd Oct 2014
Last edited: 4th Sep 2016
Inclusion in quiz mode: Included

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