[A new type of iliac fracture caused by bone insufficiency].
BACKGROUND
The iliac bone is an uncommon localization for bone insufficiency fractures. We report a new type.


METHODS
A 51-year-old woman with post-menopause osteoporosis was seen for a fracture of the ischio-pubic branch of the iliac bone. X-ray also revealed an unknown fracture situated above the anterior superior iliac spine continuing cranially and medially towards the iliac crest.


CONCLUSIONS
Three types of iliac fractures due to bone deficiency have been described. Type 1, (oblique iliac), the fracture is oblique beginning in the greater sciatic notch and extending a more or less into the iliac wing. Type 2 (superior medial iliac) involves the most medial part of the iliac wing, approximately parallel to the sacroiliac joint. In type 3 (supra-acetabular), the fracture is in a supra-acetabular localization. Our case suggests a fourth type should be individualized.
Service de Rhumatologie, Hôpital militaire Bégin, Saint-Mandé. a_elmaghraoui@hotmail.com
A
A
el Maghraoui
S
S
Lecoules
D
D
Lechevalier
J
J
Magnin
F
F
Eulry
D019386:Alendronate / Q000627:therapeutic use; D015519:Bone Density; D002118:Calcium / Q000627:therapeutic use; D003720:Densitometry; D004164:Diphosphonates / Q000627:therapeutic use; D005260:Female; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging / Q000293:injuries*; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000150:complications* / Q000188:drug therapy; D011859:Radiography; D014807:Vitamin D / Q000627:therapeutic use
D004164:Diphosphonates; D014807:Vitamin D; D002118:Calcium; D019386:Alendronate
Un nouveau type de fracture iliaque par insuffisance osseuse.