Honda sign

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Withheld.

Nuclear medicine

Bilateral symmetrical uptake in the sacral ala (the Honda sign), represent sacral insufficiency fractures.

There is also uptake in the left pubic bone where there is another fracture which was occult on x-ray.

Case courtesy of Dr John Blazak.

Case Discussion

Nice example of the Honda sign.

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