Presentation
Motor bike accident
Patient Data
Age: 30 years
Gender: Male
From the case:
Pubic symphysis disruption
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- with the pelvic binder removed, the symphysis is widened, suspicious of a pubic symphyseal disruption.
- no hip or pelvic fracture
From the case:
Pubic symphysis disruption
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- no acute fracture
- congruent hip joints
- no definite pubic symphysis or sacroiliac joint widening
From the case:
Pubic symphysis disruption
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- disruption of the symphysis pubis, which is slightly widened in keeping with capsular disruption. fluid within the symphyseal articulation, which extends to the surrounding soft tissues
- edema involving the adductor musculature in keeping with sprain. No muscle fiber tear identified
- right-sided edema involving the tensor fascia lata and vests laterals with overlying hematoma
- mild edema within the right sacroiliac joint without joint widening
Case Discussion
Traumatic disruption of the symphysis pubis - this is a nice example demonstrating the importance of the pre- and post-binder images in identifying this abnormality, even in the absence of fracture.