A pelvic fracture is one or more breaks in bones of the pelvis. The pelvis is a bowl-shaped structure between the belly and legs. A fracture in this area can range from mild to life-threatening.
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Pelvic fractures are caused by hard impact injuries such as:
Things that raise the risk of a pelvic fracture are:
Symptoms of a pelvic fracture may be:
The doctor will ask about symptoms and past health. A physical exam will be done.
Blood and urine tests may be done.
Imaging tests of the area may be taken to look at injuries in the area. The may include:
The goals are to heal the fracture, ease pain, and prevent other problems. Serious problems such as bleeding or shock will need care right away. The pelvis bones will be wrapped to set them in place.
Treatment depends on how serious the fracture is.
Minor, stable fractures will heal without surgery.
Unstable fractures will need surgery. Options are:
Care will also include:
Healing can take 4 weeks to several months. It depends on how severe the injuries are.
Most fractures are due to accidents. Some can be prevented with proper safety.
American Pediatric Surgical Association
Ortho Info—American Academy of Orthopedic Surgeons
Canadian Orthopaedic Association
Women's Health Matters
Coccolini F, Stahel PF, et al. Pelvic trauma: WSES classification and guidelines. World J Emerg Surg. 2017;12:5.
Pelvic fracture—emergency management. EBSCO DynaMed website. Available at: https://www.dynamed.com/management/pelvic-fracture-emergency-management. Accessed August 10, 2021.
Pelvis fractures. American Academy of Othopaedic Surgeons Ortho Info website. Available at: https://orthoinfo.aaos.org/en/diseases--conditions/pelvic-fractures/ . Accessed August 10, 2021.
Pelvic fractures. Pediatric Orthopaedic Society of North America website. Available at: https://posna.org/Physician-Education/Study-Guide/Pelvic-Fractures. Accessed August 10, 2021.
Last reviewed July 2021 by EBSCO Medical Review Board Daniel A. Ostrovsky, MD Last Updated: 8/10/2021