Instability on hip adduction and pain on hip motion suggests an additional fracture of the acetabulum.Neurological and vascular abnormalities in either or both legs.Loin bruising due to retroperitoneal bleeding.Haematoma above the inguinal ligament, the proximal thigh or the perineum.Haematoma or palpable fracture line on rectal examination.Tenderness, bruising, swelling and crepitus of pubis, iliac bones, hips and sacrum.Īny history of significant trauma should raise the consideration of a pelvic fracture. Osteoporotic pelvic fractures, often following one or more relatively trivial traumatic incident, is relatively common among persons over age 60.They are particularly common in sporty teenagers and typically involve the hamstrings and the ischium, resulting from a sudden muscle contraction.
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