Concurrent rib and pelvic fractures as an indicator of solid abdominal organ injury

Ammar Al-Hassani, Ibrahim Afifi, Husham Abdelrahman, Ayman El-Menyar, Ammar Almadani, Jan Recicar, Hassan Al-Thani, Kimball Maull, Rifat Latifi

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Objectives: To study the association of solid organ injuries (SOIs) in patients with concurrent rib and pelvic fractures. Methods: Retrospective analysis of prospectively collected data from November 2007 to May 2010. Patients' demographics, mechanism of injury, Injury severity scoring, pelvic fracture, and SOIs were analyzed. Patients with SOIs were compared in rib fractures with and without pelvic fracture. Results: The study included 829 patients (460 with rib fractures±pelvic fracture and 369 with pelvic fracture alone) with mean age of 35±12.7 years. Motor vehicle crashes (45%) and falls from height (30%) were the most common mechanism of injury. The overall incidence of SOIs in this study was 22% (185/829). Further, 15% of patient with rib fractures had associated pelvic fracture. SOI was predominant in patients with concurrent rib fracture and pelvic fracture compared to ribs or pelvic fractures alone (42% vs. 26% vs. 15%, respectively, p=0.02). Conclusions: Concurrent multiple rib fractures and pelvic fracture increases the risk of SOI compared to either group alone. Lower RFs and pelvic fracture had higher association for SOI and could be used as an early indicator of the presence of SOIs.

Original languageEnglish (US)
Pages (from-to)483-486
Number of pages4
JournalInternational Journal of Surgery
Issue number6
StatePublished - 2013


  • Blunt trauma
  • Multiple rib fracture
  • Pelvic fracture
  • Solid organ injury

ASJC Scopus subject areas

  • Surgery


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