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Article: Imaging of Pelvic Insufficiency Fractures

TitleImaging of Pelvic Insufficiency Fractures
Authors
KeywordsFractures, insufficiency, 33.415, 44.415
Osteoporosis, 33.562, 44.562
Pelvis
Pelvis, fractures, 33.415, 44.415
Pelvis, radionuclide studies, 33.12172, 44.12172
Issue Date1996
PublisherRadiological Society of North America, Inc. The Journal's web site is located at http://radiographics.rsnajnls.org/?rbac=crh
Citation
Radiographics, 1996, v. 16 n. 2, p. 335-348 How to Cite?
AbstractInsufficiency fractures of the pelvis are being increasingly recognized as a major cause of low back pain in elderly women with osteoporosis. Fractures in the sacrum are difficult to diagnose, as plain radiographic findings are either unhelpful or misleading. Bone scintigraphy is very sensitive for the detection of fractures in the sacrum, with demonstration of the H-shaped (or butterfly) sacral pattern or the combination of concomitant sacral and parasymphyseal uptake being considered as characteristic of insufficiency fractures. Computed tomography (CT) is helpful for confirming the presence of fractures in cases with atypical scintigraphic patterns, particularly in those with a known primary malignant neoplasm. CT is especially useful in the further evaluation of parasymphyseal and pubic rami lesions. The majority of patients respond well to periods of enforced bed rest and administration of analgesics. Recognition of the spectrum of imaging findings for this entity should lead to its correct identification and the institution of appropriate treatment.
Persistent Identifierhttp://hdl.handle.net/10722/49009
ISSN
2015 Impact Factor: 2.523
2015 SCImago Journal Rankings: 1.289
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPeh, WCGen_HK
dc.contributor.authorKhong, PLen_HK
dc.contributor.authorYin, Yen_HK
dc.contributor.authorHo, WYen_HK
dc.contributor.authorEvans, NSen_HK
dc.contributor.authorGilula, LAen_HK
dc.contributor.authorYeung, HWDen_HK
dc.contributor.authorDavies, AMen_HK
dc.date.accessioned2008-06-12T06:32:09Z-
dc.date.available2008-06-12T06:32:09Z-
dc.date.issued1996en_HK
dc.identifier.citationRadiographics, 1996, v. 16 n. 2, p. 335-348en_HK
dc.identifier.issn0271-5333en_HK
dc.identifier.urihttp://hdl.handle.net/10722/49009-
dc.description.abstractInsufficiency fractures of the pelvis are being increasingly recognized as a major cause of low back pain in elderly women with osteoporosis. Fractures in the sacrum are difficult to diagnose, as plain radiographic findings are either unhelpful or misleading. Bone scintigraphy is very sensitive for the detection of fractures in the sacrum, with demonstration of the H-shaped (or butterfly) sacral pattern or the combination of concomitant sacral and parasymphyseal uptake being considered as characteristic of insufficiency fractures. Computed tomography (CT) is helpful for confirming the presence of fractures in cases with atypical scintigraphic patterns, particularly in those with a known primary malignant neoplasm. CT is especially useful in the further evaluation of parasymphyseal and pubic rami lesions. The majority of patients respond well to periods of enforced bed rest and administration of analgesics. Recognition of the spectrum of imaging findings for this entity should lead to its correct identification and the institution of appropriate treatment.en_HK
dc.format.extent418 bytes-
dc.format.mimetypetext/html-
dc.languageengen_HK
dc.publisherRadiological Society of North America, Inc. The Journal's web site is located at http://radiographics.rsnajnls.org/?rbac=crhen_HK
dc.relation.ispartofRadiographicsen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectFractures, insufficiency, 33.415, 44.415en_HK
dc.subjectOsteoporosis, 33.562, 44.562en_HK
dc.subjectPelvisen_HK
dc.subjectPelvis, fractures, 33.415, 44.415en_HK
dc.subjectPelvis, radionuclide studies, 33.12172, 44.12172en_HK
dc.subject.meshDiagnostic Imagingen_HK
dc.subject.meshFractures, Stress - diagnosis - etiologyen_HK
dc.subject.meshPelvic Bones - injuriesen_HK
dc.subject.meshPubic Bone - injuriesen_HK
dc.subject.meshSacrum - injuriesen_HK
dc.titleImaging of Pelvic Insufficiency Fracturesen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0271-5333&volume=16&issue=2&spage=335&epage=348&date=1996&atitle=Imaging+of+pelvic+insufficiency+fracturesen_HK
dc.identifier.emailKhong, PL:plkhong@hkucc.hku.hken_HK
dc.identifier.authorityKhong, PL=rp00467en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid8966291-
dc.identifier.scopuseid_2-s2.0-0030099138en_HK
dc.identifier.hkuros12581-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030099138&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume16en_HK
dc.identifier.issue2en_HK
dc.identifier.spage335en_HK
dc.identifier.epage348en_HK
dc.identifier.isiWOS:A1996UA33700008-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridPeh, WCG=7101824984en_HK
dc.identifier.scopusauthoridKhong, PL=7006693233en_HK
dc.identifier.scopusauthoridYin, Y=7403274066en_HK
dc.identifier.scopusauthoridHo, WY=25938053100en_HK
dc.identifier.scopusauthoridEvans, NS=7401558191en_HK
dc.identifier.scopusauthoridGilula, LA=7102663646en_HK
dc.identifier.scopusauthoridYeung, HWD=25230600500en_HK
dc.identifier.scopusauthoridDavies, AM=35425741100en_HK

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