Fracture progression in fragility fractures of the pelvis: A case report

Abstract

Introduction Fragility fractures of the pelvis (FFP) are becoming increasingly common as our population ages. Usually treated conservatively the concept of fracture progression is little recognized but can have important consequences for the patient if missed. Case report A patient with a FFP presented with increase of pain after initial conservative treatment. Additional imaging revealed extensive fracture progression resulting in an unstable pelvic ring, requiring surgical intervention. Most FFPs are currently treated conservatively. However, initially stable FFPs can progress into more unstable fracture patterns that may require invasive treatment. Conclusion Physicians should be aware of fracture progression and concomitant posterior ring fractures in case of prolonged or recurrent pain or mobilization difficulties. Careful follow-up and awareness might help to prevent or treat debilitation in an early phase and improve outcomes.