A Case of Locked Pelvis, With No Urogenital 0r Vascular Injury

Case Report on Locked Pubic Symphysis with Concomitant Ipsilateral Acetabular Fracture

“…Locked or overlapping symphysis pubis is lateral compression injury where the intact pubis on one side moves behind or rarely in front of the contralateral intact pubis. [1][2][3][4][5][6][7][8][9] It is caused by hyperextension and adduction forces on the hip and femur of the affected side. Theoretically, internal or external rotation of the femur displaces the pubic bone posterior or anterior to the contra lateral intact pubic body.…”

“…A stabilizing force on the contralateral iliac crest should be applied while trying the reduction. 1,5,7 Open reduction would be the choice for overlapped/ locked symphysis pubis when the closed technique fails. It involves open visualization of the overlap through an anterior approach and reduction is attempted directly using different techniques.…”

“…In most of the cases reported, reduction is achieved by conventional methods. 5,7,8 In some difficult cases, it might need an osteotomy of the undisplaced superior pubic ramus to achieve reduction. 4 Stabilization is the next step after reduction and plating is the frequently preferred method.…”

“…This unique injury is characterized by overlapping pubic symphysis disruption, the pubic bone on one side entrapped behind or very rarely anterior to the contra lateral pubic rami. [1][2][3][4][5][6][7][8][9] Only a very small proportion of pelvic trauma resulting from lateral compression injuries end up as locked pubic symphysis injuries. 1 A locked pubic symphysis is quiet rare injury and even more when associated with acetabular fracture.…”