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INTRODUCTION The incidence of low-impact pelvic fractures is rising and continues to be a health burden to the elderly. (1-3) The emergency management of pelvic fractures predominantly focuses on the [...], Objective: We examined the records of patients presenting to the emergency department (ED) with low-impact pelvic fractures. We describe frequency, demographics, management and patient outcomes in terms of ambulatory ability, living independence and mortality. Methods: Patients treated for a pelvic fracture over a 2-year period in Kingston, Ont., were identified. We performed a retrospective hospital record review to distinguish high- versus low-impact injury mechanisms, and to characterize the injury event, ED management and outcomes for patients with low-impact fractures. Results: Of 132 pelvic fractures identified, 77 were low-impact fractures. Patients were predominantly women (82%) with a mean age of 81 years; 96% had some pre-existing medical comorbidity. The pubic rami were most commonly involved (86%). The median length of stay in the ED was 9.4 hours. Twenty-five patients (32%) were admitted to hospital. Ten patients had surgical stabilization, mostly of the acetabulum. Five patients died in hospital, 4 from pneumonia and 1 from myocardial infarction. Eight additional patients died within 1 year of injury. At discharge, only 18% lived independently and 16% walked without aids versus 42% and 38%, respectively, before injury. Conclusion: Low-impact pelvic fractures affect predominantly elderly women with pre-existing comorbidities. A substantial amount of time and resources in the ED are used during the workup of these patients and while awaiting their disposition from the ED. These injuries are important because they affect independence and seem associated with an increased risk of death. Keywords: pelvic fracture, low-impact trauma, outcomes, falls in elderly, morbidity, mortality Objectif : Nous avons analyse les dossiers de patients s'etant presentes a l'urgence avec une fracture du bassin a faible impact. Nous decrivons la frequence, les donnees demographiques, la prise en charge et le devenir des patients en termes de capacite ambulatoire, d'autonomie et de mortalite. Methodes : Nous avons repere les patients traites pour une fracture du bassin sur une periode de 2 ans a Kingston, en Ontario. Nous avons effectue une analyse retrospective des dossiers medicaux pour faire la distinction entre les mecanismes de blessure a faible impact et a haut impact et caracteriser l'incident a l'origine de la fracture, la prise en charge a l'urgence et le devenir des patients presentant une fracture a faible impact. Resultats : Parmi les 132 fractures du bassin reperees, 77 etaient des fractures a faible impact. Les patients etaient majoritairement des femmes (82 %) et l'age moyen, de 81 ans; 96 % avaient une comorbidite medicale preexistante. Les branches pubiennes etaient le foyer de fracture le plus courant (86 %). La duree mediane de sejour a l'urgence etait de 9,4 heures. Vingt-cinq patients (32 %) ont ete hospitalises. Dix patients ont subi une stabilisation chirurgicale, principalement de l'acetabulum. Cinq patients sont decedes a l'hopital, 4 d'une pneumonie et 1 d'un infarctus du myocarde. Huit autres patients sont decedes dans l'annee suivant la blessure. A la sortie de l'hopital, seulement 18 % des patients vivaient de facon autonome et 16 % marchaient sans aide par rapport a 42 % et 38 %, respectivement, avant le traumatisme. Conclusion : Les fractures du bassin a faible impact touchent principalement les femmes agees presentant des comorbidites preexistantes. On consacre beaucoup de temps et de ressources a l'urgence pour l'investigation et dans l'attente de l'issue de la consultation. Ces blessures sont importantes, car elles affectent l'autonomie et semblent etre associees a un risque accru de deces.