Presentation
Fall from considerable height onto feet
Patient Data
Age: 30 years
From the case:
Vertical shear pelvic fracture
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Comminuted intertrochanteric fracture of the left proximal femur, bilateral comminuted fractures of the pubic rami, and a vertical fracture of left ilium parallelling the left sacroiliac joint which is superiorly displaced, sacral fracture, vertical shearing injury (Malgaigne fracture)
Case Discussion
Also known as a Malgaigne fracture, vertical shear injuries of the pelvis are secondary to high energy axial loading. They are unstable in both the vertical and rotation plane and have a high association with bladder and abdominal injuries.
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