Presentation
High speed car accident.
Patient Data
Open book pelvic injury with diastasis of the pubic symphysis and widening of the right sacro-iliac joint. The pubic diastasis partially reduces following application of a pelvic binder despite it being somewhat superiorly located compared to the ideal position around the greater trochanters.
Internal plate and screw fixation of the pubic symphysis and screw through the right sacro-iliac joint. Anatomic alignment is restored.
Case Discussion
This case demonstrates the appearance of an open book pelvic injury and how application of a pelvic binder can partly restore alignment which can help minimize pelvic bleeding although the evidence base for this is currently limited.