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

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