Subacute right pubic rami fractures

Case contributed by Dr Alborz Jahangiri

Presentation

Right groin pain after a mechanical fall 2 months ago. Presented for pelvis x-ray for the first time after 2 months.

Patient Data

Age: 67
Gender: Female

There is an inferiorly mildly displaced fracture of the right superior pubic ramus as it meets the anterior column of the right acetabulum. There is also a corresponding inferior pubic ramus fracture with evidence of callus formation around the fracture line. The hip joints are normally aligned. No sacroiliac joint widening.

The hip joint is enlocated. There is minor superior hip joint space narrowing in keeping with minor degenerative changes.

The articular margins are smooth. No focal lytic or sclerotic lesion is identified.

No abnormal soft tissue mass or calcification is identified. 

Case Discussion

There are features of healing/longstanding fractures of the right pubic ramus and the ischium. A CT scan is indicated to further characterise the fractures.

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Case information

rID: 45735
Case created: 6th Jun 2016
Last edited: 7th Jun 2016
Inclusion in quiz mode: Excluded

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