eMedicine Specialties > Radiology > Musculoskeletal

Pelvis, Insufficiency Fractures: Follow-up

Author: Wilfred CG Peh, MD, MBBS, FRCP(Glasg), FRCP(Edin), FRCR, Clinical Professor, Faculty of Medicine, National University of Singapore; Senior Consultant Radiologist, Alexandra Hospital, Singapore
Contributor Information and Disclosures

Updated: Mar 25, 2009

Intervention

Medicolegal Pitfalls

  • Failure to recognize insufficiency fractures of the pelvis may result in an incorrect diagnosis of malignancy. This may occur when areas of increased uptake are seen on bone scan or when marrow signal changes of the pelvis are observed on MRI, especially in patients who have undergone pelvic irradiation for gynecologic malignancies. Care should be taken to recognize the bone scan uptake pattern, particularly atypical patterns; on MRI, altered bone marrow signal in the sacrum is cause for suspicion.
 


More on Pelvis, Insufficiency Fractures

Overview: Pelvis, Insufficiency Fractures
Imaging: Pelvis, Insufficiency Fractures
Follow-up: Pelvis, Insufficiency Fractures
Multimedia: Pelvis, Insufficiency Fractures
References
Further Reading
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References

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  33. Peh WC, Khong PL, Ho WY. Case report: sacral insufficiency fractures masking malignancy. Clin Radiol. Jan 1997;52(1):71-2. [Medline].

  34. Peh WC, Khong PL, Ho WY, et al. Sacral insufficiency fractures. Spectrum of radiological features. Clin Imaging. Apr-Jun 1995;19(2):92-101. [Medline].

  35. Peh WC, Khong PL, Sham JS, et al. Sacral and pubic insufficiency fractures after irradiation of gynaecological malignancies. Clin Oncol (R Coll Radiol). 1995;7(2):117-22. [Medline].

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Keywords

pelvis insufficiency fracture, pelvis fracture, pelvic fracture, fracture of pelvis, stress fracture, pubic bone, parasymphysis, pubic rami, unstable pelvic fracture

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Contributor Information and Disclosures

Author

Wilfred CG Peh, MD, MBBS, FRCP(Glasg), FRCP(Edin), FRCR, Clinical Professor, Faculty of Medicine, National University of Singapore; Senior Consultant Radiologist, Alexandra Hospital, Singapore
Wilfred CG Peh, MD, MBBS, FRCP(Glasg), FRCP(Edin), FRCR is a member of the following medical societies: American Roentgen Ray Society, British Institute of Radiology, International Skeletal Society, Radiological Society of North America, Royal College of Physicians, and Royal College of Radiologists
Disclosure: Nothing to disclose.

Medical Editor

Leon Lenchik, MD, Director, Densitometry Minifellowship, Assistant Professor, Department of Radiology, Wake Forest University Medical Center
Leon Lenchik, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

William R Reinus, MD, MBA, FACR, Professor of Radiology, Temple University; Chief of Musculoskeletal and Trauma Radiology, Vice Chair, Department of Radiology, Temple University Hospital
William R Reinus, MD, MBA, FACR is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, Radiological Society of North America, and Sigma Xi
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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