Honda sign (sacrum)
Citation, DOI, disclosures and article data
At the time the article was created Ian Bickle had no recorded disclosures.
View Ian Bickle's current disclosuresAt the time the article was last revised Rohit Sharma had no financial relationships to ineligible companies to disclose.
View Rohit Sharma's current disclosures- Honda sign in sacral insufficiency fracture
- H sign (sacrum)
- H pattern (sacrum)
The Honda sign (H sign or H pattern) is a term used to describe the appearance of bilateral sacral insufficiency fractures on a radioisotope bone scan.
Radiographic features
Sacral insufficiency fractures are usually vertically through the sacral alae, paralleling the sacroiliac joint, often with a transverse component - this pattern resembles the capital letter H, leading to the designation of the Honda sign (or H sign or H pattern).
With the more common availability of MRI, radioisotope scans (technetium 99m HDP) are less commonly undertaken.
History and etymology
The name derives from the appearance of the Honda car manufacturer's logo (badge), with the H-shaped appearance representing the areas of increased radioisotope uptake in the sacral alae medial to the sacroiliac joints with a band connecting the bilateral areas of vertical uptake.
References
- 1. Lyders EM, Whitlow CT, Baker MD et-al. Imaging and treatment of sacral insufficiency fractures. AJNR Am J Neuroradiol. 2010;31 (2): 201-10. doi:10.3174/ajnr.A1666 - Pubmed citation
Incoming Links
Related articles: Fractures
-
fracture
- terminology
- fracture location
- diaphyseal fracture
- metaphyseal fracture
- physeal fracture
- epiphyseal fracture
- fracture types
- avulsion fracture
- articular surface injuries
- complete fracture
- incomplete fracture
- infraction
- compound fracture
- pathological fracture
- stress fracture
- fracture displacement
- fracture location
- fracture healing
- skull fractures
-
facial fractures
- fractures involving a single facial buttress
- alveolar process fractures
- frontal sinus fracture
- isolated zygomatic arch fractures
- mandibular fracture
- nasal bone fracture
- orbital blow-out fracture
- paranasal sinus fractures
- complex fractures
- dental fractures
- fractures involving a single facial buttress
-
spinal fractures
- classification (AO Spine classification systems)
-
cervical spine fracture classification systems
- AO classification of upper cervical injuries
- AO classification of subaxial injuries
- Anderson and D'Alonzo classification (odontoid fracture)
- Roy-Camille classification (odontoid process fracture)
- Gehweiler classifcation (atlas fractures)
- Levine and Edwards classification (hangman fracture)
- Allen and Ferguson classification (subaxial spine injuries)
- subaxial cervical spine injury classification (SLIC)
- thoracolumbar spinal fracture classification systems
- three column concept of spinal fractures (Denis classification)
- classification of sacral fractures
-
cervical spine fracture classification systems
- spinal fractures by region
- spinal fracture types
- classification (AO Spine classification systems)
- rib fractures
- sternal fractures
-
upper limb fractures
- classification
- Rockwood classification (acromioclavicular joint injury)
- AO classification (clavicle fracture)
- Neer classification (clavicle fracture)
- Neer classification (proximal humeral fracture)
- AO classification (proximal humeral fracture)
- AO/OTA classification of distal humeral fractures
- Milch classification (lateral humeral condyle fracture)
- Weiss classification (lateral humeral condyle fracture)
- Bado classification of Monteggia fracture-dislocations (radius-ulna)
- Mason classification (radial head fracture)
- Frykman classification (distal radial fracture)
- Mayo classification (scaphoid fracture)
- Hintermann classification (gamekeeper's thumb)
- Eaton classification (volar plate avulsion injury)
- Keifhaber-Stern classification (volar plate avulsion injury)
- upper limb fractures by region
- shoulder
- clavicular fracture
-
scapular fracture
- acromion fracture
- coracoid process fracture
- glenoid fracture
- humeral head fracture
- proximal humeral fracture
- humeral neck fracture
- arm
- elbow
- forearm
- wrist
-
carpal bones
- scaphoid fracture
- lunate fracture
- capitate fracture
- triquetral fracture
- pisiform fracture
- hamate fracture
- trapezoid fracture
- trapezium fracture
- hand
- shoulder
- classification
- lower limb fractures
- classification by region
- pelvic fractures
- hip fractures
- Pipkin classification (femoral head fracture)
- Garden classification (hip fracture)
- American Academy of Orthopedic Surgeons classification (periprosthetic hip fracture)
- Cooke and Newman classification (periprosthetic hip fracture)
- Johansson classification (periprosthetic hip fracture)
- Vancouver classification (periprosthetic hip fracture)
- femoral
- knee
- Schatzker classification (tibial plateau fracture)
- AO classification of distal femur fractures
- Meyers and McKeevers classification (anterior cruciate ligament avulsion fracture)
- tibia/fibula
- Watson-Jones classification (tibial tuberosity avulsion fracture)
- ankle
- foot
- Berndt and Harty classification (osteochondral lesions of the talus)
- Sanders CT classification (calcaneal fracture)
- Hawkins classification (talar neck fracture)
- Myerson classification (Lisfranc injury)
- Nunley-Vertullo classification (Lisfranc injury)
- pelvis and lower limb fractures by region
- pelvic fracture
- sacral fracture
- coccygeal fracture
-
hip
- acetabular fracture
- femoral head fracture
-
femoral neck fracture
- subcapital fracture
- transcervical fracture
- basicervical fracture
-
trochanteric fracture
- pertrochanteric fracture
- intertrochanteric fracture
- subtrochanteric fracture
- femur
- mid-shaft fracture
- bisphosphonate-related fracture
- distal femoral fracture
- knee
- avulsion fractures
- Segond fracture
- reverse Segond fracture
- anterior cruciate ligament avulsion fracture
- posterior cruciate ligament avulsion fracture
- arcuate complex avulsion fracture (arcuate sign)
- biceps femoris avulsion fracture
- iliotibial band avulsion fracture
- semimembranosus tendon avulsion fracture
- Stieda fracture (MCL avulsion fracture)
- patellar fracture
- tibial plateau fracture
- avulsion fractures
- leg
- tibial tuberosity avulsion fracture
- tibial shaft fracture
- fibular shaft fracture
- Maisonneuve fracture
- ankle
- foot
- tarsal bones
- metatarsal bones
- phalanges
- classification by region
- terminology
Related articles: Inspired signs
-
inanimate object inspired
- accordion sign
- astronomical inspired
- ball of wool sign
- ball on tee sign (renal papillary necrosis)
- boot-shaped heart
- bowler hat sign
- bow tie sign
- box-shaped heart
- bucket handle appearance (disambiguation)
- chain of lakes sign
- champagne glass pelvis
- cobblestone appearance
- Coca-Cola bottle sign
- cockade sign (disambiguation)
- coin lesion
- collar button ulcer
- comb sign
- corduroy artifact
- corduroy sign
-
corkscrew sign (disambiguation)
- corkscrew sign (diffuse esophageal spasm)
- corkscrew sign (inner ear)
- corkscrew sign (midgut volvulus)
- crazy paving sign
- cupola sign
- curtain sign (lung ultrasound)
- dinner fork deformity
- dripping candle wax sign
- finger in glove sign
- fishhook ureters
- flame-shaped breast (gynecomastia)
- football sign (pneumoperitoneum)
- frozen pelvis
- ghost triad (gallbladder)
- ghost vertebra
- goblet sign
- ground glass opacity
- hockey stick sign (disambiguation)
- horseshoe (disambiguation)
- hourglass sign
- hurricane sign (cardiac SPECT)
- jail bar sign
- keyhole sign (disambiguation)
- leather bottle stomach
- light bulb sign (disambiguation)
- Lincoln log vertebra
- Mercedes-Benz sign (disambiguation)
- misty mesentery sign
- mosaic appearance (disambiguation)
- napkin ring sign
- open book fracture
- pearl necklace sign
- pencil in a cup
- picture frame vertebral body
- polka-dot sign
- rachitic rosary
- ribbon rib deformity
- ring shadow
- rugger jersey spine
- sack of marbles sign
- sail sign (disambiguation)
- scalpel sign
- spilled teacup sign
- stepladder sign (disambiguation)
-
string of pearls sign (disambiguation)
- string of pearls sign (abdominal radiograph of small bowel)
- string of pearls sign (polycystic ovarian syndrome)
- string of pearls sign (fibromuscular dysplasia)
- string of pearls sign (watershed infarction)
- Tam o' Shanter sign
- telephone receiver deformity
- thimble bladder
- tombstone iliac wings
- Venetian blind sign
- Venus necklace sign
- water bottle sign
-
weapon and munition inspired signs
- arrowhead sign
- bayonet artifact
- bayonet deformity
- boomerang sign (disambiguation)
- bullet-shaped vertebra
- cannonball metastases
- Cupid bow contour
- dagger sign
- double barrel sign
- halberd pelvis
- hatchet sign
- panzerherz
- pistol grip deformity
- saber-sheath trachea
- scimitar syndrome
-
target sign (disambiguation)
- double target sign (hepatic abscess)
- eccentric target sign (cerebral toxoplasmosis)
- reverse target sign (cirrhotic nodules)
- target sign (cholangiocarcinoma)
- target sign (choledocholithiasis)
- target sign (hepatic metastases)
- target sign (intussusception)
- target sign (neurofibromas)
- target sign (pyloric stenosis)
- target sign (tuberculosis)
- trident appearance
- Viking helmet sign
- white pyramid sign
- windswept knees
- wine bottle sign
-
vegetable and plant inspired
- aubergine sign
- bamboo spine
- blade of grass sign
- celery stalk appearance (disambiguation)
- coconut left atrium
- coffee bean sign
- cotton wool appearance
- drooping lily sign
- ginkgo leaf sign (disambiguation)
- holly leaf sign
- iris sign
- ivy sign
- miliary opacities
- mistletoe sign
- onion signs (disambiguation)
- pine cone bladder
-
popcorn calcification (disambiguation)
- popcorn calcification (breast)
- popcorn calcification (chondroid lesions)
- popcorn calcification (fibrous dysplasia)
- popcorn calcification (osteogenesis imperfecta)
- popcorn calcification (pulmonary hamartomas)
- popcorn calcification (uterine fibroid)
- potato nodes
- rice signs (disambiguation)
- salt and pepper sign (disambiguation)
- tombstone iliac wings
- tree-in-bud
- tulip sign
- water lily sign
-
fruit inspired
- apple core sign (disambiguation)
- apple-peel intestinal atresia
- banana and egg sign
- banana fracture
- banana sign
- berry aneurysm
- bowl of grapes sign
-
bunch of grapes sign (disambiguation)
- bunch of grapes sign (hydatidiform mole)
- bunch of grapes sign (bronchiectasis)
- bunch of grapes sign (IPMN)
- bunch of grapes sign (botryoid rhabdomyosarcoma)
- bunch of grapes sign (intracranial tuberculoma)
- bunch of grapes sign (intraosseous hemangiomas)
- bunch of grapes sign (multicystic dysplastic kidney)
- cashew nut sign
- lemon sign
- pear-shaped bladder
- strawberry gallbladder
- strawberry skull
- watermelon skin sign
-
animal and animal produce inspired
- human
- mammals
- anteater nose sign
- antler sign
- batwing opacities
- bear paw sign
- beaver tail liver
- Brahma bull sign
- buffalo chest
- bull's eye sign (disambiguation)
- bunny waveform sign
- claw sign
- dog ear sign
- dog leg sign
- dromedary hump
- ears of the lynx sign
- eye of tiger sign
- feline esophagus
- giraffe pattern
- hidebound sign
- ivory phalanx
- ivory vertebra sign
- joint mouse
- leaping dolphin sign
- leopard skin sign
- moose head appearance
- panda sign
- piglet sign
- pleural mouse
- raccoon eyes sign
- rat bite erosions
- rat-tail sign
- Scottie dog sign
- Snoopy sign
- stag's antler sign
- staghorn calculus
- tiger stripe sign
-
zebra sign (disambiguation)
- zebra sign: (cerebellar hemorrhage)
- zebra spleen: arterial phase (spleen)
- zebra stripe sign (osteogenesis imperfecta)
- amphibians
- birds
- bird beak sign (disambiguation)
- bird's nest sign (lung)
- crow feet sign
- egg on a string sign
- eggshell calcification (breast)
- eggshell calcification (lymph nodes)
- gooseneck sign (endocardial cushion defect)
- gull wing appearance
- hummingbird sign
- owl eyes sign
- pooping duck sign
- sitting duck appearance
- swallowtail sign
- swan neck deformity
- winking owl sign
- fish and marine life
- reptiles
- arthropods
- micro-organisms
- fictional creatures
-
food inspired
- Cheerio sign (disambiguation)
- chocolate cyst
- cottage loaf sign
- double Oreo cookie (glenoid labrum)
- doughnut sign (disambiguation)
- hamburger sign (spine)
- head cheese sign (lungs)
- honeycombing (lungs)
- hot cross bun sign (pons)
- ice cream cone sign (middle ear ossicles)
- ice cream cone sign (vestibular schwannoma)
- licked candy stick appearance (bones)
- linguine sign (breast implants)
- macaroni sign
- omental cake
- Oreo cookie (heart)
- pancake organ (disambiguation)
- Polo mint sign
- salad oil sign (breast implants)
- sandwich sign (disambiguation)
- sandwich vertebra
- sausage digit
- spaghetti sign
- Swiss cheese sign
-
alphabet inspired
- A line (US artifact)
- C sign (MSK)
- delta sign (disambiguation)
- E sign
- H-shaped vertebra
- H sign
- J-shaped sella
- J sign (shoulder)
- L sign (brain)
- lambda sign (disambiguation)
- M sign
- omega epiglottis
- O sign (gastric banding)
- P sign (epiglottis)
- S sign of Golden
- tau sign
- T sign (disambiguation)
- U fibers
- U-figure (pelvis)
- U sign (brain)
- V sign (disambiguation)
- W hernia
- X-marks-the-spot sign
- Y sign (epidural lipomatosis)
- Z deformity
-
Christmas inspired
- Christmas tree bladder in neurogenic bladder
- holly leaf sign in calcified pleural plaques
- ivy sign in leptomeningeal enhancement
- nutcracker esophagus in esophageal dysmotility
- shepherd's crook deformity of the femur in fibrous dysplasia
- snowcap sign in avascular necrosis
- snowman sign (disambiguation)
- snowstorm appearance in complete hydatidiform mole and testicular microlithiasis
- miscellaneous