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Case report| Volume 43, ISSUE 10, P1776-1778, October 2012

Inferior pubic ramus fracture in a child with an associated fracture-haematoma induced inflammatory response

      Insufficiency fractures of the pubic rami in elderly patients are commonly encountered in orthopaedic practice and their incidence is reported at 25.6 per 100,000 per year.
      • Hill R.M.
      • Robinson C.M.
      • Keating J.F.
      Fractures of the pubic rami. Epidemiology and five year survival.
      Fractures of the pelvis in children are relatively uncommon and constitute approximately 1% of admissions at paediatric trauma units, and are associated with significant morbidity and mortality.
      • Chia J.P.
      • Holland A.J.
      • Little D.
      • Cass D.T.
      Pelvic fractures and associated injuries in children.
      The mechanism of injury most commonly associated with paediatric pelvic fractures involves a pedestrian being hit by a car.
      • Banerjee S.
      • Barry M.J.
      • Paterson J.M.
      Paediatric pelvic fractures: 10 years experience in a trauma centre.
      The incidence of isolated pubic ramus fractures in the skeletally immature pelvis has yet to be reported. We report a case of an inferior pubic ramus fracture sustained during a game of rugby that presented with fever and groin pain.
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