Hello there! I have a female vigilante that slips on a wet rooftop while fighting a villain and she falls from a building. I planned on her fracturing her hips (because she lands on her rear/back) and gets a moderate to severe concussion. Is that reasonable? Also, what would the healing process be for a fractured hip be? Thank you so so much! (This is not a NaNo request just so you know.)
Hey there @princessnightwing! Let’s rap for a bit.
Falling off a rooftop is a pretty surefire way to fracture the hip. If she lands on her back, the type of pelvic fracture she’s looking at is an open-book pelvic fracture, which is.... basically exactly what it sounds like. The hips splay wide enough that the pelvis fractures at the sacroiliac joint and the hips remain “open.”
This is associated with bleeding that can and will threaten your character’s life.
Understand that this is a massive injury. The pelvis is the core of our ability to walk, to bend at the waist. It’s an incredibly difficult structure to fracture. It takes a lot of force.
And I don’t think this would be the only fracture involved! A fall from that height is going to cause fractures to the arms and the legs as well on impact, plus (likely) some rib fractures.
As to the head injury... the amount of force required to break the pelvis is also enough force to brake the skull. Your character will likely have a skull fracture, and I think you’re honestly looking more at a subdural or epidural hematoma than you are at a concussion -- there’s just too much force involved for a blood vessel not to tear.
The only way I can see having this happen as an isolated thing is if she falls, stomach-down, hips-first, over a tree branch, which would break her hips, keep her from dying in the fall, and then she tumbles to the ground and has her concussion but limited other injuries. :)
As for recovery, it’s a super long and complicated road. I wouldn’t have her walking for the first... four? five? six? months after the fall, and she may limp for the rest of her life. She may not be able to run, or walk without the assistance of a walker.
If you choose to go down this road with this character, it’s a major change in her life, for at least a year.
[Blood on the Page Volume 1 is a writer’s compendium of injuries! Snag your copy right meow for realistic wounds to use in your story!]