DOI: https://doi.org/10.36347/sjmcr.2026.v14i11.027

Pages: 2520-2528

Introduction: Pelvic trauma represents a potentially life-threatening condition, frequently associated with multiple injuries. Its management requires rapid clinical assessment, accurate injury evaluation and early multidisciplinary care. Imaging plays a crucial role in diagnosis, fracture characterization, assessment of pelvic ring stability, detection of associated injuries and treatment planning. The aim of this study was to analyze the clinical and radiological features of pelvic trauma, including acetabular fractures, and to assess the role of imaging in their management in our Moroccan setting, particularly in the context of the 2023 Al Haouz earthquake. Materials and methods: We conducted a retrospective descriptive study including 31 patients admitted to the Traumatology and Orthopedic Surgery Department of Avicenne Military Hospital in Marrakech between January 2022 and December 2023 for pelvic trauma. Patients aged 15 years or older with pelvic fractures, including acetabular fractures, who underwent clinical and radiological follow-up were included. Patients with incomplete medical records or who left the hospital against medical advice were excluded. Data were collected retrospectively from medical records using a standardized data collection form. Results: The mean age was 40 years, ranging from 15 to 75 years. There was a slight male predominance, with 55% men and 45% women, corresponding to a sex ratio of 1.21. The main mechanism of injury was the Al Haouz earthquake, accounting for 20 of 31 patients (64.5%), followed by road traffic accidents in 29% of cases. Falls from height accounted for 8% of cases and parachuting accidents for 3%. Anteroposterior compression was the predominant injury mechanism, accounting for 53% of cases, followed by lateral compression in 31%. Vertical shear accounted for 10%, while combined mechanisms accounted for 6%. Sixteen patients had isolated pelvic ring fractures, six had isolated acetabular fractures, and nine had co