Sacral insufficiency fractures. Spectrum of radiological features.
Clinical and radiological features of 22 Chinese patients with sacral insufficiency fractures were reviewed. Twenty-one were postmenopausal women. Other risk factors were external pelvic radiotherapy (eight) and total hip replacement (two). Severe low back pain was the most common presenting complaint. Fractures initially were demonstrated by bone scintigraphy in 21 and computed tomography (CT) in seven patients. Concomitant parasymphyseal and pubic rami fractures were detected in 17 and 10 patients, respectively. Follow-up assessment by CT and bone scintigraphy in five patients showed various stages of fracture healing. Recognition of the radiological patterns of this entity is emphasized.
Peh
W C
WC
Department of Diagnostic Radiology, University of Hong Kong.
Khong
P L
PL
Ho
W Y
WY
Yeung
H W
HW
Luk
K D
KD
D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D004307:Dose-Response Relationship, Radiation; D005260:Female; D005500:Follow-Up Studies; D015775:Fractures, Stress / Q000000981:diagnostic imaging* / Q000209:etiology; D006622:Hip Prosthesis / Q000009:adverse effects; D006801:Humans; D017116:Low Back Pain / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010012:Osteogenesis; D015663:Osteoporosis, Postmenopausal / Q000150:complications* / Q000000981:diagnostic imaging; D010384:Pelvic Bones / Q000528:radiation effects; D010386:Pelvic Neoplasms / Q000532:radiotherapy; D011832:Radiation Injuries / Q000209:etiology; D011877:Radionuclide Imaging; D011879:Radiotherapy Dosage; D012447:Sacrum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000528:radiation effects; D014057:Tomography, X-Ray Computed