title: All superior pubic ramus fractures are not created equal.
abstract: OBJECTIVE
  To assess whether patients with a fracture of the high superior pubic ramus have functional outcomes worse than those of the lower or more central superior pubic ramus.
  
  
  METHODS
  We carried out a retrospective cohort study of all patients with pubic ramus fractures seen in either the emergency department or outpatient clinic of a level-1 trauma centre in Montreal. Patients were grouped according to their fracture location, determined from radiographs of the anteroposterior pelvis. Harris Hip Score and Musculoskeletal Functional Assessment questionnaire (short form) data were determined by an independent observer.
  
  
  RESULTS
  Both the hip score (p = 0.0024) and functional assessment (p = 0.0304) indicated that patients in the group with high superior fractures had significantly poorer functional status.
  
  
  CONCLUSIONS
  High superior pubic ramus fractures have a poorer prognosis with respect to functional outcome.
authors.affiliation: Division of Orthopedic Surgery, McGill University, Montréal, Que.
authors.forename: Daniel
authors.initials: D
authors.lastname: Steinitz
authors.forename: Pierre
authors.initials: P
authors.lastname: Guy
authors.forename: Anna
authors.initials: A
authors.lastname: Passariello
authors.forename: Rudolf
authors.initials: R
authors.lastname: Reindl
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Harvey
mesh_terms: D000328:Adult; D015331:Cohort Studies; D050723:Fractures, Bone / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D011379:Prognosis; D011630:Pubic Bone / Q000293:injuries*; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome