Work

Bilateral avulsion fractures of the posterior superior iliac spine in an adult: A case report

Year: 2026

Type: article

Abstract: Pelvic avulsion fractures are a common consequence of traumatic injuries, yet occurrences at the PSIS (posterior superior iliac spine) site are rare. No similar cases have been reported in the literature, leaving a gap in guidance for managing this fracture type. We present the case of a 34-year-old female who came to the emergency department complaining of severe back pain after a traumatic injury. Initial pelvic radiographs were normal; however, a CT scan revealed minimally displaced complete bilateral avulsion fractures of the PSIS. Our approach was based on conservative management, focusing on pain control, and encouraging gradual resumption of physical activity. At the six-month follow-up, the patient showed significant clinical improvement and had returned to normal activities. Managing this case was challenging due to limited empirical data. However, opting for non-operative management yielded acceptable outcomes.

Source: Trauma Case Reports

DOI: 10.1016/j.tcr.2026.101306

Authors: Arash Maleki, Fereshte Abdolvand, Ghazal Valinejad

Institutions: Shahid Beheshti University, Shahid Beheshti University of Medical Sciences

Language: English

Topic: Pelvic and Acetabular Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,190