Duverney fracture

Presentation

Complications

Malunion and deformity of the iliac wing can occur. Injury to the internal iliac artery can occur, leading to hypovolaemic shock. Perforation of the bowel can occur, leading to sepsis. Damage to the adjacent nerves of the lumbosacral plexus has also been described.{{cite journal |last1= Amr |first1= SM |last2=Abdel-Meguid |first2= KMS |last3= Kholeif |first3= AM |date=February 2002 |title= Neurologic injury caused by fracture of the iliac wing (Duverney's Fracture): Case report |journal= Journal of Trauma-Injury Infection & Critical Care

Diagnosis

Duverney fractures can usually be seen on pelvic X-rays, but CT scans are required to fully delineate the fracture and to look for associated fractures involving the pelvic ring.

Management

Since fractures that do not involve the weight bearing part of the pelvic ring tend to be stable fractures, they can often be managed without surgery. These fractures tend to be very painful, so walking aids such as crutches or walking frames may be needed until the pain settles.

Open reduction internal fixation is sometimes required to correct deformity, and surgery may be required if there is damage to blood vessels, nerves or organs, or if the fracture is open.

References

References

1. "Duverney fracture". [[General Electric.
2. Tile, Marvin. (2003). "Fractures of the Pelvis and Acetabulum". Lippincott Williams & Wilkins.
3. [http://www.orthopaedia.com/display/Main/Iliac+wing+fractures Iliac wing fractures] {{Webarchive. link. (2012-07-18 at Orthopaedia.com)