Right iliac wing fracture - Duverney fracture

Case contributed by Dr Levente István Lánczi

Presentation

Fallen on his right hip a day before. Tenderness and hematoma at right dorsal ilium. Stable pelvic ring. Pain during right lower extremity movements. No internal organ injury.

Patient Data

Age: 55 years
Gender: Male
X-ray

Trauma patient - first admission

A slight transparent line is seen on the right iliac crest which is best seen on the AP view.

X-ray

Enlarged images - first admission

On the magnified images the fracture line is better visible.

X-ray

Control examination - 10 days later

Fracture line is more clearly visible on the control images.

X-ray

Control examination - 1 month later

Callus is clearly seen on both projections.

Case Discussion

 

Iliac wing fractures are very uncommon. An isolated iliac wing fracture is a stable benign injury and can be managed conservatively. Serious and potentially life-threatening associated abdominal, vascular and/or neurological injuries should be excluded.

 

 

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Case information

rID: 46721
Published: 14th Jul 2016
Last edited: 31st Dec 2019
Inclusion in quiz mode: Included

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