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Resolution
This patient suffered an avulsion fracture of the iliac crest. He was advised to rest and follow up with an orthopedist.
Pelvic fractures are uncommon in children, due to the cartilaginous nature of the pelvis in a growing child. Their occurrence implies high-energy trauma. Hence, evaluation for bladder/urethral injury is imperative. Risk for internal bleeding is high.
Barring such complicating factors, pelvic fractures heal quite well in children, typically.
Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.
Clinical Challenge: November, 2010
Nahum Kovalski, BSc, MDCM
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