Pelvis showing fracture
Object numberGC.5712
TitlePelvis showing fracture
DescriptionPelvis, with the fourth and fifth lumbar vertebrae, showing a fracture.
From a III-Para aged 50 years who slipped while attempting to enter a lift in motion and was crushed between the lift and the cage. Partly supported by her friends she was able to walk a distance of about 100 yards to her house where feeling sick she was put to bed and on the following day was admitted to hospital. There was extensive abrasion of the skin over the left buttock and considerable swelling and much bruising in the neighbourhood. Fracture was not recognised clinically nor reported after radiographic examination. Two days later she had rather severe rectal haemorrhage with abdominal pain and some collapse. A slight recurrence of the haemorrhage took place on the seventh day, after which a brown diarrhoea continued with abdominal pain, rising temperature and increasingly rapid pulse and she died on the tenth day after her accident Post-mortem examination showed considerable extravasation of blood in the neighbourhood of the pelvic lesion and the tissues around the rectum low down were similarly affected.
On both sides symmetrically, fissures pass through the superior ramus at its junction with the body of the pubis and through the inferior ramus of the ischium at its junction with the tuberosity. On the left side the superior ramus is fractured and comminuted from the crest of the os pubis into the obturator foramen and the fracture is continued from the obturator foramen through the inferior ramus of the pubis. The left ala of the sacrum has been broken off by a fracture passing through the first sacral foramen and an irregular fissure passes from the margin of the sacrum into the third and ascends into the second sacral foramen. The left transverse process of the fifth lumbar vertebra is fractured at its base.
A combined fracture dislocation of the pelvic ring. There are fractures of the superior and inferior rami of the pubis on both sides and a fracture dislocation of the left sacro-iliac joint (Diagram 13B Type 5).
Production periodTwentieth century
Object nameBONE, pelvis
Object categoryAnatomical, specimen
MaterialBONE
Dimensions
- Bone Height: 25 cm
Width: 28 cm
Depth: 20 cm