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Trauma
intermediate
X-Type

Pubic Rami Fractures MCQ

pubic-rami-fractures

A 78-year-old woman presents after a fall from standing height. She reports anterior pelvic pain and is unable to weight-bear. AP pelvic radiograph shows minimally displaced fractures of the left superior and inferior pubic rami. There is no pubic symphysis widening. The patient has osteoporosis (T-score -3.2). **What additional imaging is MOST important to assess for occult instability?**

Mark each as TRUE or FALSE

A

CT pelvis with 3D reconstruction only

B

MRI pelvis to evaluate posterior ring

C

Inlet and outlet radiographic views

D

Bone scan to assess fracture age

E

Weight-bearing radiographs of the pelvis

Answer the questions to see explanations

Click T (True) or F (False) for each option