PMC6796630_01
Pelvic CT scan showing overlapped pubic symphysis, with the left pubic symphysis locked into the right obturator foramen. a. Front view. b. Top view.
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The contrast pelvic CT Scan (Fig. 1) showed a pubic symphysis disjuncture with both pubic bones overlapping, the left posteriorly displaced pubic symphysis in the right obturator foramen, entrapped by the left pubic tubercle consistent with a locked symphysis fracture; which we classified as Tile B2 fracture.
a. Trans-symphyseal screw. b. Stabilisation of the pelvic with Hoffman 2 external fixator.
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The reduction was stabilised using a trans-symphyseal screw of 60 mm x 3.5 mm, then external fixation with Hoffman 2 external fixator (Fig. 2).
Combined antegrade and retrograde cystourethrography showing a non-patent stenosis of the initial segment of the posterior urethra.
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From there he did also a retrograde and antegrade cystourethrography which showed a non-patent stenosis of the initial segment of the posterior urethra (Fig. 3).