:A: 856171.4; A Malgaigne fracture is a vertical shear fracture with instability and complete separation of one side of the pelvis from the other (disruption of the pelvic ring). If blood loss had been provided, more definition could have been used. However, in this case NFS was the best choice.
Q: Patient arrives after a 20′ fall from a height landing on his right leg; examination shows a visibly shortened RLE; plain film of the pelvis demonstrates that the right iliac wing is higher than the left with apparent SI joint dislocation and fractures of the superior and inferior pubic rami on the right; CT scan confirms a Malgaigne shear fracture of the pelvis; blood loss is not known.
Feb 1, 2010 | Face | 0 comments