Bilateral sacroiliac joint fracture dislocation

ABSTRACT

Major disruptions of the pelvic ring are high energy injuries, frequently associated with multiple organ system injury and severe blood loss. Hypotensive patients with these fractures present a major challenge in diagnosis and treatment of the bleeding source; these patients require early and aggressive treatment by a multidisciplinary team. The optimal timing and indications for currently available diagnostic and therapeutic approaches remain controversial. Differentiating between intra-abdominal and intrapelvic bleeding is difficult. The treating surgeon, dealing with these injuries should understand the need for a multidisciplinary approach pelvic ring biomechanic of patterns of injury and principles of stabilization of these fractures. We describe a case of bilateral sacroiliac joint fracture dislocation and separation of the symphysis pubis, with major arterial bleeding, and intraperitoneal rupture of the urinary bladder