We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Postpartum sacral insufficiency fractures.
- Authors
Yan, Charles; Vautour, Line; Martin, Marie-Hélène; Yan, Charles Xiao Bo
- Abstract
Postpartum sacral insufficiency fracture is an uncommon occurrence that is often under-diagnosed because its symptoms of low back, buttock and groin pains may initially be attributed to physiologic biomechanical changes caused by pregnancy or to intervertebral disc disease. We present a case of bilateral sacral insufficiency fractures in a 37-year-old postpartum woman with osteopenic bone mineral density confirmed by dual energy X-ray absorptiometry. The symptoms were initially suspected to be of discogenic cause, and the fractures were incidentally appreciated at the edge of a lumbar spine magnetic resonance image. Therefore, it is important to keep in mind this potential diagnosis when examining imaging studies of postpartum patients. For women who present other risk factors of osteoporosis, imaging of the entire sacrum should be part of the imaging studies. If sacral stress fractures are diagnosed, further evaluation for bone mineral density and underlying metabolic bone disease is recommended.
- Subjects
SACRUM injuries; PUERPERAL disorders; INTERVERTEBRAL disk; DUAL-energy X-ray absorptiometry; DIAGNOSIS of bone fractures; WOUNDS &; injuries; DIAGNOSIS; DIFFERENTIAL diagnosis; BONE fractures; LABOR complications (Obstetrics); MAGNETIC resonance imaging; PUERPERIUM; SACRUM; SPINAL injuries; STRESS fractures (Orthopedics); PHOTON absorptiometry
- Publication
Skeletal Radiology, 2016, Vol 45, Issue 3, p413
- ISSN
0364-2348
- Publication type
journal article
- DOI
10.1007/s00256-015-2289-z