Imaging Case of the Week 533 Answer

The pelvic x-ray shows:

  • Right iliac wing fracture
  • Right acetabular fracture
  • Right inferior pubic ramus fracture
  • Diastasis of the pubic symphysis
  • Left 5th lumbar transverse process fracture

Relevant & significant negative finding is that there is no evidence of a pelvic binder application in this patient with open book pelvic fracture.

Patient to be managed as per EMST guidelines on major trauma.