Pubic symphysis disruption

Case contributed by Mr Andrew Murphy

Presentation

Quad bike accident

Patient Data

Age: 65 years
Gender: Female
X-ray

Initial imaging

Diastasis of the pubic symphysis, fractures of the superior and inferior pubic rami bilaterally.

X-ray

Follow up flamigo views

There is disruption of the pubic symphysis, with a notably wide diastasis seen between the individual flamingo views consistent with significant disruption of the ligamentous structures of the symphysis, which widens to a distance of 24 mm on the left foot up view. 
 

X-ray

Post operative imaging

Screw plate fixation seen to the bilateral superior pubic rami.

Case Discussion

The 'flamingo view' although seldom utilised, is a specialised orthopaedic projection of the pelvis to screen for instability of the pubic symphysis.

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Case information

rID: 54883
Case created: 4th Aug 2017
Last edited: 26th Aug 2017
Inclusion in quiz mode: Included
Institution: Princess Alexandra Hospital

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