Type of fracture | Pathogenetic mechanism | Treatment |
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Avulsion | Muscle insertion tears off with an avulsion of a bone fragment (athletes) | Conservative treatment is often sufficient; sometimes fracture fixation is required. |
Ramus fracture (single, stable, no sacral fracture) | Typically following a fall or sideways impact | Pain relief and early mobilization |
Fracture of the pelvic ring at several points, sacral fractures, sacroiliac luxation | High-energy injury (traffic accident, fall from a height, fall); an injury of lower energy is sufficient to cause these in a patient with osteporosis | Usually surgical fixation of the fracture, milder injuries (partially stable) treated conservatively |
Acetabulum | Fall (osteoporosis!), traffic accident, fall from a height; fracture of the acetabular floor in the elderly. | A dislocated fracture and especially a dislocated hip joint need emergency assessment and treatment within specialized care. In general, the treatment is surgical. |