title: Iliac wing insufficiency fractures as unusual postoperative complication following total hip arthroplasty - a case report.
abstract: Insufficiency fractures present a significant problem in patients with osteoporosis. We report a case of bilateral iliac wing insufficiency fracture following low energy injury in an 87-year-old osteoporotic woman occurring 2 weeks after primary total hip arthroplasty. There are only a few reports of insufficiency fractures involving the ilium in the literature, and diagnosis has proven challenging, as radiographs are often negative at symptom onset. Magnetic resonance or radionuclide imaging is generally necessary for definitive diagnosis. This case highlights the importance of careful perioperative management of patients with osteoporosis.
authors.forename: Omri
authors.initials: O
authors.lastname: Ayalon
authors.forename: Ran
authors.initials: R
authors.lastname: Schwarzkopf
authors.forename: Scott E
authors.initials: SE
authors.lastname: Marwin
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Zuckerman
mesh_terms: D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D015775:Fractures, Stress / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging / Q000293:injuries*; D010003:Osteoarthritis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010024:Osteoporosis / Q000150:complications; D058866:Osteoporotic Fractures / Q000175:diagnosis / Q000209:etiology*; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed