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

Clinical Features

  • Often associated with
    • posterior arch injuries
    • genitourinary injuries

Differential Diagnosis

Evaluation

  • Xray
  • CT better evaluates posterior arch

Management

  • Orthopedic surgery

Disposition

See Also

External Links

References

  1. Rosen's Emergency Medicine. Philadelphia, PA. 2014.