Malgaigne fracture is an unstable type of pelvic fracture, which involves one hemipelvis, and results from vertical shear energy vectors. Clinical presentation One of the clinical features is shortening of the leg on the affected side. Pathology It comprises of two ipsilateral pelvic ring fractures, which are vertically oriented: vertical shear: results in Malgaigne fracture or bucket handle fracture combined mechanical: occur when two different force vectors are involved and result in a complex fracture pattern The Tile classification of pelvic fractures is based on stability rather than mechanism and is considered the precursor of the Young and Burgess system.
Malgaigne fracture Radiology Reference Article
A Malgaigne fracture comprises of disruption of superior and inferior pubic rami and the ipsilateral sacroiliac joint, or as variants - the ipsilateral sacral wing (as in this case) or ileum. This results in an essentially disconnected hemipelvi. This is an unstable fracture, characterized by loss of both vertical and rotational stability of the pelvic ring; weight bearing on an unstable fracture will result in progressive displacement and may manifest as limb shortening on the affected side. Age: 55 years Gender: Male This case featured in our 2016 Trauma Radiology Course which is now available to view online. Trauma Series x-ray Fracture of the right superior and inferior pubic rami and the right sacral ala. The pubic symphysis and sacroiliac joints remain normally aligned. Pelvic CT ct Above the acetabulum, the oblique fracture in right iliac bone involving its posterior third and start from the iliac crest and exit into the lower one-third of ipsilateral SI joint with involvement of articular surface without its significant diastasis.
Pelvic fractures (Malgaigne fracture) Radiology Case
Malgaigne fractures involve the SI joint and ipsilateral ischiopubic ramus. It is considered an unstable pelvic fracture and is clinically evident by shortening of the lower extremity. . Computed hamburger Tomography diagnosis signs. Journal of dislocations: Emergency Medicine the "hamburger o Resemble assessment lateral radiograph fragments of subluxation • assessment for normal within the spinal anal as well as PATHOLOGY o to open mouth/AP of odontoid radiographs fractures/burst fractures of C1 Acetabular fractures are considered separately in the classifications of Tile [ 30 ]. A fundamental concept both in clinical and radiological management is to speak generally of pelvic fracture but to distinguish a PRD from an acetabulum fracture. The polytraumatized patient with a pelvic ring fracture, for the complex clinical problems and. Definition: Unstable ipsilateral anterior and posterior fractures of the pelvic ring, with resultant superior displacement of one hemipelvis. Also known as the Malgaigne fracture. Mechanism High energy blunt trauma, with significant axial loading Most commonly a fall or jump from a height with impact onto the lower extremities
Malgaigne fracture Radiology Case
A Malgaigne fracture is a vertical shear pelvic fracture where the sacroiliac joint is involved and there is fracture of the pubic rami. A Malgaigne fracture can often be recognized clinically as shortening of the ipsilateral lower extremity. Radiographic diagnosis can be made from an AP view of the pelvis. Can you find all the fractures? Click on the image for the answer.
Malgaigne fracture is an unstable type of pelvic fracture, which involves one hemipelvis, and results from vertical shear energy vectors. Miscellaneous Pelvic Fractures. Injuries other than the Malgaigne fracture are also easily evaluated on radiographs of the pelvis in the standard and special projections or on CT examination. The Duverney fracture is a stable fracture of the wing of the ilium without interruption of the pelvic ring (see Fig. 8.10).
Malgaigne fracture Radiology Case
A Malgaigne fracture is composed of fractures and dislocations of the anterior and posterior regions of the pelvis. This is the first reported case of Malgaigne fracture during childhood. A 12-year-old girl was admitted to our emergency room after having suffered a fall. Radiological tests revealed a zone 3 sacral fracture according to the. Description The Malgaigne fracture is an unstable fracture of the pelvis. The Malgaigne fracture usually results from a vertical shear force causing two ipsilateral pelvic ring fractures. Fractures are ipsilateral and vertically orientated (one anterior and one posterior to the acetabulum)
