TY  - JOUR
PY  - 2021//
TI  - The 'nightstick' ischial fracture: a unique oddity of the pelvic injury family
JO  - BMJ case reports
A1  - Gillespie, Matthew John
A1  - Makaram, Navnit S.
A1  - White, Tim O.
A1  - Molyneux, Samuel G.
SP  - e240874
EP  - e240874
VL  - 14
IS  - 2
N2  - 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>
LA  - en
SN  - 1757-790X
UR  - http://dx.doi.org/10.1136/bcr-2020-240874
ID  - ref1
ER  -