Anteroposterior compression II injury

Case contributed by Stefan Tigges
Diagnosis almost certain

Presentation

Motor vehicle collision with rotational instability of the left hemipelvis.

Patient Data

Age: 50 years
Gender: Male

The symphysis pubis and left sacroiliac joint are widened, no definite fracture.

From Gray's Anatomy

Diagram

Normal pelvic ligaments.

Case Discussion

A subsequent CT scan (not shown) showed that the anterior left sacroiliac joint was widened but that the posterior SI joint was intact, indicating that the left anterior sacroiliac, sacrospinous and sacrotuberous ligaments were torn but that the posterior sacroiliac ligament was intact. These findings indicate an anteroposterior compression II injury using the Young and Burgess classification of pelvic ring fractures.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.