Sacral insufficency fractures

Case contributed by Dr Chris O'Donnell

Presentation

Spontaneous pelvic pain in an elderly patient.

Patient Data

Age: 80 years
Gender: Female
CT

Sclerotic (healing) sacral ala and transverse sacral body fractures.

Case Discussion

These sacral changes without a history of trauma producing a so-called Honda sign, are mostly representing sacral insufficiency fractures. Note bones are demineralized. Usually occurs in elderly women.

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Case information

rID: 28137
Published: 11th Mar 2014
Last edited: 17th Jul 2019
Inclusion in quiz mode: Included

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