Avulsion of the gluteus maximus associated with a Morell Lavellè lesion in a pelvic ring fracture

Morell Lavellè injury is associated with high-energy trauma. By itself, avulsion of the gluteus maximus an extremely rare injury, and their association rare.Case report: A 21-year-old was victim a car accident. On admission, he presented pelvic instability large hematoma in right gluteal region. X-rays computerized axial tomography (CT) were performed. He diagnosed bilateral sacral wing fracture dislocation left sacroiliac joint underwent fixation cannulated screws on left. After discharge, recurred due to fever inflammatory signs posterior surface buttock, palpation gap. Faced this situation, CT scan repeated where extensive degloving lesion soft parts identified, opting for debridement surgical cleaning. During surgery, detachment from its ileal insertion verified. adequate mobilization release, transosseous reinsertion performed multifilament suture. To date, no incidents report, good clinical imaging evolution. Discussion: The one external rotators most important extensor hip, playing preponderant role gait. In addition, it has functions as global stabilizer ring. Diagnose not easy, might even go unnoticed. Form repair consensual: we Ethibond® Vicryl®. With case intend highlight importance tissue injuries context polytraumatized patients.