@article{ref1,
title="The 'nightstick' ischial fracture: a unique oddity of the pelvic injury family",
journal="BMJ case reports",
year="2021",
author="Gillespie, Matthew John and Makaram, Navnit S. and White, Tim O. and Molyneux, Samuel G.",
volume="14",
number="2",
pages="e240874-e240874",
abstract="We present an unusual ischial fracture unreported in the literature. We discuss the mechanism and describe the appropriate investigations and surgical management of this fracture. A 36-year-old man sustained a direct blow to his right buttock following a fall from a dirt bike. Examination revealed a firm haematoma, with severe pain on any stretch involving the posterior compartment of the thigh. Radiographs revealed a displaced fracture of the ischial body. CT confirmed integrity of the pelvic ring. The patient underwent open reduction and internal fixation with a partially threaded cannulated screw via a 'modified longitudinal' posterior approach to the ischium. The patient was managed partially weight-bearing for 6 weeks; 6-month follow-up confirmed satisfactory clinical and radiographic outcomes. Clinicians should be aware of this novel pelvic fracture and its unusual presentation, currently not included in any pelvic fracture classification system. We report a novel operative technique for appropriate surgical management of such injuries.<p /> <p>Language: en</p>",
language="en",
issn="1757-790X",
doi="10.1136/bcr-2020-240874",
url="http://dx.doi.org/10.1136/bcr-2020-240874"
}