A 48-year-old woman developed symptomatic superior and inferior pubic rami fractures with a concomitant subluxation of the ipsilateral sacroiliac joint three years after pelvic irradiation for a gynecologic malignancy. Pathologic pelvic fractures (PPF) caused by irradiation may be difficult to distinguish from those caused by metastatic disease. PPF produce prolonged disability.
* Comprehensive Orthopaedics, 709 West First Street, Bloomington, Indiana.
** Division of Orthopaedic Surgery, UNC School of Medicine, Chapel Hill, North Carolina.