Malgigne Fracture Wheeless

Description: Vertical Shear Fracture of the Pelvis.
- frx consist of frxs of both pubic rami plus posterior frx of SI complex or sacrum:
- there is vertically oriented frx thru anterior and posterior pelvis together w/ superior displacement of lateral "acetabulum-containing" fragment of pelvis;
- this injury is characterized by rupture of entire pelvic floor, including posterior SI complex as well as sacrospinous and sacrotuberous ligaments;
- injury may be unilateral or bilateral;
- these frx are unstable owing to the significant posterior pelvic disruption;
- usually results from fall from height onto lower limbs