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One specific kind of pelvic fracture is known as an 'open book' fracture. This is often the result of a heavy impact to the groin (pubis), a common motorcycling accident injury. In this kind of injury, the left and right halves of the pelvis are separated at front and rear, the front opening more than the rear, i.e. like an open book that falls ...
Elementary fracture Description Associated fractures Description Posterior wall: This is the most common variety of acetabular fracture. It typically occurs due to dashboard injury; when a person travelling in a vehicle involved in a head-on collision, the force applied over the flexed knee travels along the femur bone to the head of the femur, breaking the posterior wall of the acetabulum.
A Malgaigne fracture is vertical pelvic fracture with bilateral sacroiliac dislocation and fracture of the pubic rami. It is named for Joseph-François Malgaigne . Classification
Pubic symphysis diastasis (also known as diastasis symphysis pubis) is the separation of normally joined pubic bones, as in the dislocation of the bones, without a fracture that measures radiologically more than 10 mm. Separation of the symphysis pubis is a rare pathology associated with childbirth and has an incidence of 1 in 300 to 1 in 30,000 births.
spiral fracture of proximal fibula: external rotation of ankle: Maisonneuve fracture at Wheeless' Textbook of Orthopaedics online Malgaigne's fracture: Joseph-François Malgaigne: vertical pelvic fracture through both pubic rami and the ilium or sacroiliac joint with vertical displacement: high energy impact to pelvis (front to back)
Direct (or indirect via the proximal femur) lateral impact against the pelvic ring Superior directed force to one side of the pelvis Combination of other injury vectors (e.g. LC + VS) APC I - Symphysis widening < 2 cm LC I - Compression fractures of the pubic rami (superior pubic ramus and inferior pubic ramus) and ipsilateral anterior sacral ala
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The pubic bone is made up of a body, superior ramus, and inferior ramus (Latin: branch). The left and right coxal bones join at the pubic symphysis. It is covered by a layer of fat – the mons pubis. The pubis is the lower limit of the suprapubic region. In the female, the pubis is anterior to the urethral sponge.