Straddle fracture

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

Motor car collision.

Patient Data

Age: 45 years
Gender: Female
ct

Bilateral fracture of the superior and inferior pubic rami.

Small fracture of the right iliac crest posteriorly is noted as well.

Case Discussion

Straddle fracture of the pelvis (fracture of both superior and inferior pubic rami) is considered an unstable injury. The mechanism is a vertical shear injury (in this case a car accident). With straddle fractures, there is a 40% chance of injury to the genitourinary tract.

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