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
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 characterize the fractures.
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