Acetabulum and pelvic fractures in childhood are rare among all fractures. Generally, these fractures occur as a result of high-energy injuries. It should be kept in mind that some pelvic fractures, especially simple avulsion fractures, may develop due to low energy sports injuries. The elasticity of the pediatric pelvic bone and the periosteum structure and remodeling feature have a protective effect against the growth problems that may occur during the post-injury period. Furthermore, due to these properties, high energy is necessary for any injury. These fractures may usually be accompanied by multiple organ injuries or bone fractures. The cause of mortality in children is often due to associated injuries, not hemorrhagic problems as seen in adults. For this reason, the majority of patients with pelvic fracture should be managed conservatively, and principle management should be based on the associated injuries.