Malgaigne Fracture

File:Diastasis symphysis pubis 1300500.JPG

Malgaigne Fracture

I’m Ed Smith, a Sacramento Personal Injury Lawyer. A Malgaigne fracture of the pelvis is a serious injury that can lead to significant complications that every patient should understand.

What is a Malgaigne Fracture?

The pelvis is made up of numerous bones including a pubic bone that has an anterior and posterior ring. One ring is in front of the acetabulum, or the hip socket, and the other ring is behind the acetabulum. A bone fracture in each of these rings is termed a Malgaigne fracture and having a pelvic fracture in both the anterior and posterior ring represents a serious traumatic injury.

Mechanism of Injury

A Malgaigne fracture is a fracture of both the anterior and posterior pelvic ring. This means that a force has to be applied from either above or below the pelvic rings with tremendous strength to break both rings at once. Think about someone who is involved in a major auto accident, someone who tumbles from the roof of a house, or who falls onto the crossbar in a bicycle accident.

Treatment of a Malgaigne Fracture

The first step in the treatment of this fracture is to immobilize the injury site to prevent the development of comorbidities down the road. Once the fracture has been immobilized, it will be imaged using x-rays or CT scans to analyze the type of fracture. After, the bones will be reduced (if they are out of place) and immobilized for several weeks to allow the fractures to heal.

Complications are Possible

Because there is a fracture in both the anterior and posterior pelvic ring, it is possible for the bones to shift and move out of place. In the process, they can injure the organs, blood vessels, and nerves that also run in the nearby area. This can create major complications, including internal bleeding, if the bones shift too far.

Structures at Risk

When both the anterior and posterior pelvic rings are broken, there are several structures in the area that are at risk. The genitourinary system is a serious concern because the urethra could be severed by the bone fragments. The uterus also lives in this area and damage to the uterus could lead to serious issues with a current pregnancy and future fertility.

Differential Diagnosis

A Malgaigne fracture has several other possibilities on the table, including:

Injury Prognosis

A Malgaigne fracture is a serious injury that could be made more serious with damage to nearby structures. While most patients do recover, the prognosis is handled on a case by case basis.

Surgery is Used Regularly

With a fracture of both the anterior and posterior rings, there is nothing to hold the bones in place. The bones are free to float, meaning they are commonly displaced. This means that an open reduction is commonly required to put the bones back into place.

Sacramento Personal Injury Lawyer & Pelvic Fracture Attorney

I’m Ed Smith, a Sacramento Personal Injury Lawyer. If you or your loved one has suffered any form of pelvic fracture, please reach out to me at (916) 921-6400 for friendly, free legal advice. I have a toll-free choice for visitors from outside of Sacramento, which is (800) 404-5400.

I am humbled to be included in the California area’s Million Dollar Advocates Forum. This is a top-notch segment of attorneys that have been named or ranked with some of the country’s top trial attorneys. The lawyers in this group have both reached settlement agreements and earned verdicts worth more than $1 Million dollars.

Several of my office’s prior verdicts and settlements can be read here.

Many of my client reviews and ratings are available for viewing on Avvo, Yelp, and Google Plus.

Image Source: Printed with permission under the 3.0 version of the Creative Commons License from Wikimedia Commons

:dr bw [cs 658] cv

Client Reviews

  • Me and my wife; had a car accident. We were amazed how easy, professional, friendly attorney Ed Smith is along with his staff. Everybody is amazing. Thank you so much, we are very impressed!
  • Ed Smith and his office team took on a difficult personal injury case on my behalf and for the passenger in my car. Ed is a top- notch attorney. His staff couldn't have been more helpful and kind. No need to look elsewhere. I give Ed Smith my highest recommendation.
  • Ed and Robert have been taking great care of my husband and I for the past 5+ years. They are always there when you have a problem and a quick resolution! Even when the issues have nothing to do with them. They are willing to help ease the pain off your shoulders. They are as good as it gets! Thank you again for everything.
  • Very professional. Great team, staff and service all around. Mr Smith was very honest, straight forward with his advice. He gives the word "attorney" an honest reputation. I will seek his council anytime, and would recommend him at the drop of a dime.
  • I would highly recommend Ed Smith to any friends or family in need of a personal injury attorney. Ed, and his staff, are very caring on top of being very experienced in this field. The staff always keeps you informed of the status of your case and they are always easy to reach by phone.
  • Edward Smith law offices provide competent, thorough, and personable help for victims of personal injury. When you first meet the staff you know you contacted the right office. This law office treats clients like people. I recommend this office to anyone seeking representation regarding personal injury.