Parasymphyseal insufficiency fracture
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It prevails in elderly osteopenic or osteoporotic patients.
- concomitant fractures in the pelvis 3
Typically seen as vertically oriented linear areas of osteolysis along the junction of the superior and inferior pubic rami adjacent sclerosis adjacent to the pubic symphysis. They may be unilateral or bilateral.
They can be occasionally misinterpreted as a malignant lesion 2.
- 1. Casey D, Mirra J, Staple TW. Parasymphyseal insufficiency fractures of the os pubis. AJR Am J Roentgenol. 1984;142 (3): 581-6. doi:10.2214/ajr.142.3.581 - Pubmed citation
- 2. Hauge MD, Cooper KL, Litin SC. Insufficiency fractures of the pelvis that simulate metastatic disease. Mayo Clin. Proc. 1988;63 (8): 807-12. Pubmed citation
- 3. Davies AM, Evans NS, Struthers GR. Parasymphyseal and associated insufficiency fractures of the pelvis and sacrum. Br J Radiol. 1988;61 (722): 103-8. doi:10.1259/0007-1285-61-722-103 - Pubmed citation