RTA cae - What do you see?

X ray of a patient with RTA. The vehicle hit the side bumper and the patient was ‘thrown around’ in the car. Patient who self-extricated complained of right hip/groin pain, left sided neck pain, limping to toilet and back. All stable vital signs and no wounds. What do you see?

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Pelvis is tilted and assymmetric There could be scoliosis Need lumbosacral spine and cervical spine xray Left inferior pubic ramus show fracture Rule out old injury

IT'S A..CASE OF.. RTA.. RESULTING INTO.. FRACTURE PUBIC RAMUS.. NEED'S.. EXPERTS OPINION FOR FURTHER MANAGEMENT..

Tnx Dr Ashok Leel sir
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There is clear fracture of inferior pubic rami on left with disruption of right sacroiliac joint. Better to consult Orthopedic surgeon

A person who can walk to toilet and back - process that there is no major fracture and there is no unstable pelvis fracture There is left inferior ramus of pubic bone fracture It is undisplaced fracture It should resolve with conservative treatment

# Left inferior pubic. Rami seen Needs further investigation and evaluation. CT pelvis advisable to conclude and treatment plan.

Thanks Dr Vipin Bihari Jain
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1.Public ramus fracture inferiorly. 2. Downward shifting of left SI joint causing SI dysfunction and limping. 3. Right sided SI joint ligaments may be sprained and there may be compression injury and soft tissue injury.

# inferior rami pubic bone

Thanx dr Vipin Bihari Jain
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Fracture of inferior pubic rami No wt bearing Rest Pelvic traction See other pelvicinjuries with ct if any. See signs of bladder and urethral damage There is diastasis of pubic symphysis.

Fracture inferior ramus left pubic bone. Pl rule pelvis ultrasound for organs

Continued CT evaluation will help in detecting posterior injury to pelvic ring

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Diseases Related to Discussion

Bone Fracture
Scoliosis