Diagram - pelvic insufficiency fractures
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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.
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.
- Lee YJ, Bong HJ, Kim JT et-al. Sacral insufficiency fracture, usually overlooked cause of lumbosacral pain. J Korean Neurosurg Soc. 2008;44 (3): 166-9. doi:10.3340/jkns.2008.44.3.166 - Free text at pubmed - Pubmed citation
- Linstrom NJ, Heiserman JE, Kortman KE et-al. Anatomical and biomechanical analyses of the unique and consistent locations of sacral insufficiency fractures. Spine. 2009;34 (4): 309-15. doi:10.1097/BRS.0b013e318191ea01 - Free text at pubmed - Pubmed citation
- Rommens PM, Wagner D, Hofmann A. Surgical management of osteoporotic pelvic fractures: a new challenge. Eur J Trauma Emerg Surg. 2012;38 (5): 499-509. doi:10.1007/s00068-012-0224-8 - Free text at pubmed - Pubmed citation