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
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A slight transparent line is seen on the right iliac crest which is best seen on the AP view.
Enlarged images - first admission
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On the magnified images the fracture line is better visible.
Control examination - 10 days later
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Fracture line is more clearly visible on the control images.
Control examination - 1 month later
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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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