Open Access

Arterial injury following a low energy pubic rami fracture

Journal of Orthopaedics and TraumatologyOfficial Journal of the Italian Society of Orthopaedics and Traumatology20067:148

DOI: 10.1007/s10195-006-0148-3

Received: 10 January 2006

Accepted: 1 November 2006

Published: 18 December 2006

Abstract

Patients with simple pubic rami fractures can be divided into two main groups: young people subject to high-energy trauma and elderly people who sustain osteoporotic fractures after minor falls. Cases associated with lifethreatening arterial injury mostly relate to the high-energy group. We report the case of a 70-year-old woman in whom a low-energy fall caused a stable pubic rami fracture injury associated with angiographyproven multiple hemorrhage from branches of both the internal and external iliac arteries which necessitated embolization of the bleeding vessels. As far as we are aware, angiography-proven bleeding from branches of the internal and external iliac arteries in a low-energy, stable pubic rami fracture has not been reported before. This case emphasizes the need for admission and careful hemodynamic monitoring in such cases.

Key words

Pubic ramifracture Loco energy Arterial injury External iliac Internal iliac