Open book pelvic injury

Case contributed by Dr Henry Knipe

Presentation

Motor vehicle collision.

Patient Data

Age: 50 years
Gender: Male
X-ray

Widening and malalignment of the pubic symphysis. Soft tissue attenuates the sacro-iliac joints, and these are difficult to assess. Pelvic binder in situ.  

CT

Widening and malalignment of the pubic symphysis and left sacro-iliac joint compatible with an open book injury. No fracture identified. 

Case Discussion

This case is an example of an open book injury from anteroposterior compression without fracture - the force of the injury has traveled through, and disrupted, the left sacro-iliac joint. 

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Case information

rID: 57944
Published: 7th Feb 2018
Last edited: 7th Feb 2018
Inclusion in quiz mode: Included

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