Pelvic bucket handle fracture

Case contributed by Mohamed Mahmoud Elthokapy
Diagnosis certain

Presentation

Motor vehicle accident with trauma impact to pelvis mainly and severe pelvic pain.

Patient Data

Age: 30 years
Gender: Male
x-ray
Frontal
Frontal
Oblique
Oblique
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Info

Displaced fracture left superior and inferior pubic rami.

A fracture line is seen at the right iliac bone extending to right sacroiliac articulation.

This study is a stack
Axial bone
window
This study is a stack
Axial
non-contrast
This study is a stack
Sagittal
bone window
This study is a stack
Coronal
bone window
This study is a stack
3D VR
3D VR
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Info

Vertically orientated fracture of right iliac bone involving its crest and wing extending caudally along through the right sacroiliac joint.

Left superior and inferior pubic rami fractures with displacement and small bony fragments. 

Case Discussion

Bucket handle fractures of the pelvis are a result of anteroposterior compression energy vectors. It is described as a vertically-orientated fracture through ipsilateral superior and inferior pubic rami with contralateral sacroiliac joint disruption/dislocation.

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