Pubic rami fractures are a subgroup of pelvic fractures. Pelvic fractures are related to pelvic trauma with a risk of grave hemorrhage. If a pelvic fracture is suspected, proper physical examination and radiographic studies are extremely important.

The initial radiograph performed on this case raised suspicion of a right sacroiliac joint injury. A CT was performed, which revealed a sacral fracture. There are many important neurovascular structures in this region that may be injured due to pelvic trauma. In the present case, the patient did not present neurologic deficit of L5 nor S1 roots.