Straddle pelvic fracture
Background
- Also known as "Four-pillar" injury[1]
- Involves fractures of both pubic rami bilaterally
- Causes a "butterfly segment" containing the pubic symphysis
Pelvic fracture types
- Acetabular pelvic fractures
- Open book pelvic fracture
- Straddle pelvic fracture
- Pelvic avulsion fracture
Clinical Features
- Often associated with
- posterior arch injuries
- genitourinary injuries
Differential Diagnosis
Abdominal Trauma
- Abdominal compartment syndrome
- Diaphragmatic trauma
- Duodenal hematoma
- Genitourinary trauma
- Liver trauma
- Pelvic fractures
- Retroperitoneal hemorrhage
- Renal trauma
- Splenic trauma
- Trauma in pregnancy
- Ureter trauma
Hip pain
Acute Trauma
- Femur fracture
- Proximal
- Intracapsular
- Extracapsular
- Shaft
- Mid-shaft femur fracture (all subtrochanteric)
- Proximal
- Hip dislocation
- Pelvic fractures
Chronic/Atraumatic
- Hip bursitis
- Psoas abscess
- Piriformis syndrome
- Meralgia paresthetica
- Septic arthritis
- Obturator nerve entrapment
- Avascular necrosis of hip
Evaluation
- Xray
- CT better evaluates posterior arch
Management
- Orthopedic surgery
Disposition
See Also
External Links
References
- ↑ Rosen's Emergency Medicine. Philadelphia, PA. 2014.