Update: We are now collecting Disclosures from all users who edit content. You will be prompted to update these when you next edit content or you can complete your disclosures at any time in your user profile. This has been reflected in an updated terms-of-use.

Sacral insufficiency fracture on bone scan

Case contributed by Dr Matt Skalski

Presentation

Pain

Patient Data

Age: 75 years
Gender: Female
Nuclear medicine

Intense abnormal uptake is present in the sacrum with an H-shaped morphology, typical of sacral insufficiency fracture. 

Intense uptake is also noted at the right superior and inferior pubic rami, at sites of known prior fracture. 

Activity involving the left knee, consistent with osteoarthritis. Some activity is also noted in the lower lumbar spine at the site of surgical fusion. 

Bilateral sclerotic changes in the sarcral ala with linear areas of central lucency consistent with insufficiency fracture. 

Case Discussion

Typical example of sacral insufficiency fracture in an elderly osteoporotic female with the classic "Honda sign." 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.