From the case:
Pelvic insufficiency fractures (illustrations)
![](https://prod-images-static.radiopaedia.org/images/2776343/9c5c14cfd7e9ce2177060692401d21_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/2776347/ff3876202645d3193879a4b300ef57_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/2776352/167c2b932d062fd472aca05329a84d_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/2776359/4d92c773575a09f08e1ead1e6d794b_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/2776367/056bbb142af8cf355dff14647780bd_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/2776372/fb3692726db284e4161beb4fbb692e_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/2776379/7018f8d0fb35b6e25317d8988aaa45_thumb.jpg)
Download
Info
![](https://prod-images-static.radiopaedia.org/images/2776343/9c5c14cfd7e9ce2177060692401d21_big_gallery.jpg)
Any of the above-noted regions could be present with pelvic insufficiency fracture, alone or incombination with one another. Often sacral insufficiency fractures are observed in combination with parasymphyseal or pubic rami fractures. The labeled areas represent the most common locations observed with insufficiency fractures of the pelvis.
Case Discussion
Insufficiency fractures of the pelvis are not an uncommon cause of low back, buttock, and/or groin pain in elderly patients. They are difficult to diagnose clinically, are often not appreciated on plain film, and may have history of minor or no trauma.