Vertical shear pelvic injury

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Motor vehicle collision.

Patient Data

Age: 40 years
Gender: Male
x-ray

Pubic symphysis subluxation. Right sacro-iliac joint malalignment. Pelvic binder in place. 

Pubic symphysis subluxation. Comminuted right sacral fractures extending to the right sacro-iliac joint. Avulsion fracture of the tip of the right L5 transverse process. 

Case Discussion

Vertical shear injuries can result in a variety of fractures and joint injuries. These injuries are often associated with visceral injuries such as bladder or urethral rupture. 

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