open book fracture

Open book pelvic injuries are most often the result of high-energy trauma and are associated with significant morbidity and mortality due to associated vascular injuries.

Pathology

Open book pelvic injuries result from an anteroposterior compression injury to the pelvis and result in a combination of ligamentous rupture and/or fractures to both the anterior and posterior arches :

• anterior arch: pubic diastasis (+/- sacrotuberous/sacrospinous ligamentous disruption) and/or pubic rami fractures
• posterior arch: sacroiliac joint widening or diastasis; posterior ilium fractures; sacral ala fractures

Associations

• urethral injury

See also

• pelvic fractures

Siehe auch:

• Beckenfraktur