Demographics:
18 years old, Male
Indication:
Pedestrian struck by car
Findings
- Acute left superior pubic ramus fracture with extension into the pubic body and symphysis and 8 mm inferior displacement of the pubic body fragment at the symphysis
- Acute nondisplaced left inferior pubic ramus fracture
- Rightward deviation of the contrast-filled bladder with flattening of the left inferior bladder wall
Diagnosis
Obturator ring fractures
Sample Report
Acute left superior pubic ramus fracture with extension into the pubic body and symphysis and 8 mm inferior displacement of the pubic body fragment at the symphysis.
Acute nondisplaced left inferior pubic ramus fracture.
No diastasis of the pubic symphysis or sacroiliac joints, though evaluation is limited by patient rotation.
Much of the sacrum is obscured by contrast material in the distal ureters and bladder.
Rightward deviation of the contrast-filled bladder with flattening of the left inferior bladder wall, which may relate to mass effect from a left pelvic hematoma.
Discussion