Pelvic avulsion fracture

Background

• Isolated, closed avulsion fracture of pelvis or single-bone
• Trauma may be very minor (e.g. fall from seated) in elderly or those with weakened bones
• Sports-related avulsion fractures are most common pelvic injuries in children

Clinical Features

• History of trauma
• Pain/point tenderness over iliac crests, pubic rami, sacrum, or coccyx

Evaluation

• Pelvic X-ray, CT pelvis
• Assess for other injuries and more severe fracture

Management

• Do not disrupt pelvic ring, do not usually require surgery
• Analgesia
• Crutches, non-weight-bearing status
• Outpatient orthopedic follow-up

Disposition

• Discharge if pain controlled and able to safely manage at home with mobility limitations

See Also

• Pelvic fractures]]