LOCKED PUBIC SYMPHYSIS: A CASE REPORT AND REVIEW OF LITERATURE

Authors

  • Chee WH Dept of Orthopaedics, Hospital Tuanku Jaafar, Seremban, Negeri Sembilan, Malaysia
  • Ahmad AR Dept of Orthopaedics, Hospital Tuanku Jaafar, Seremban, Negeri Sembilan, Malaysia; Pelvic and Advanced Trauma Surgeon, Head of Department, Hospital Tuanku Jaafar Seremban, Negeri Sembilan

Keywords:

Locked pubic symphysis, overlapping pubic symphysis injury, pubic symphysis dislocation

Abstract

Locked pubic symphysis is a rare form of pelvic injury that usually occurs after a lateral compression injury to the pelvis, where the intact pubis is trapped behind the contralateral pubis. To the best of our knowledge, there were 25 similar cases reported in the English literature since it was first described in 1952. We present a case of locked pubic symphysis with a left iliac wing fracture and a left femur shaft fracture requiring open reduction and internal fixation. We also reviewed previous reported cases of locked pubic symphysis and analysed the pattern of presentation and guide to management of such injuries. We propose a classification system for grading overlapping pubic symphysis that will provide a better guide to the management of such injuries.

Keywords: Locked pubic symphysis, overlapping pubic symphysis injury, pubic symphysis dislocation

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Published

2018-12-31

Issue

Section

Research article