Motor car collision.
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Bilateral fracture of the superior and inferior pubic rami.
Small fracture of the right iliac crest posteriorly is noted as well.
Straddle fracture of the pelvis (fracture of both superior and inferior pubic rami) is considered an unstable injury. The mechanism is a vertical shear injury (in this case a car accident). With straddle fractures, there is a 40% chance of injury to the genitourinary tract.