Right iliac wing fracture - Duverney fracture

Case contributed by Dr Levente István Lánczi

Presentation

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

Patient Data

Age: 57 years
Gender: Male
X-ray

Trauma patient - first admission

A slight transparent line is seen on the right iliac crest.

Femur is without fracture.

X-ray

Enlarged images - first admission

On the enlarged images the fracture line is better visible.

X-ray

Control images - 10 days later

Fracture line is more clearly visible on the control images.

X-ray

Control images - 1 month later

Callus is clearly seen on both projections.

Case Discussion

In the hip, femoral neck and trochanter fractures are most common.

Pelvic bone fractures, including the pubic bone and iliac wing, are less common, but should always be excluded.

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
Case created: 14th Jul 2016
Last edited: 15th Jul 2016
Inclusion in quiz mode: Included

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