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Radiologische Diagnostik von Stress- und Insuffizienzfrakturen des Sakrums


Spiegl, Ulrich; Schnake, Klaus; Osterhoff, Georg; Scheyerer, Max; Ullrich, Bernhard; Bula, Philipp; Siekmann, Holger (2019). Radiologische Diagnostik von Stress- und Insuffizienzfrakturen des Sakrums. Zeitschrift für Orthopädie und Unfallchirurgie, 157(02):144-153.

Abstract

Fractures of the os sacrum without relevant trauma history are defined as stress or insufficiency fractures and often affect the anterior pelvis. Sacral insufficiency fractures are associated with osteoporosis and occur under physiological load. In contrast, sacral stress fractures are caused by mechanical overloading. Diagnostic confirmation is delayed in many of these patients. Thus, MRI and/or CT should be performed early. Fracture stability should be evaluated by CT. MRI is the better approach to rule out fractures and is highly sensitive. It is indicated in young patients and in patients with non-specific lumbosacral pain. Nuclear imaging techniques are viable alternatives in patients with a contraindication for MRI.

Abstract

Fractures of the os sacrum without relevant trauma history are defined as stress or insufficiency fractures and often affect the anterior pelvis. Sacral insufficiency fractures are associated with osteoporosis and occur under physiological load. In contrast, sacral stress fractures are caused by mechanical overloading. Diagnostic confirmation is delayed in many of these patients. Thus, MRI and/or CT should be performed early. Fracture stability should be evaluated by CT. MRI is the better approach to rule out fractures and is highly sensitive. It is indicated in young patients and in patients with non-specific lumbosacral pain. Nuclear imaging techniques are viable alternatives in patients with a contraindication for MRI.

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Additional indexing

Other titles:Imaging of sacral stress and insufficiency fractures
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Department of Trauma Surgery
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Surgery, Orthopedics and Sports Medicine
Language:German
Date:1 April 2019
Deposited On:09 Aug 2018 15:47
Last Modified:24 Sep 2019 23:33
Publisher:Georg Thieme Verlag
ISSN:1864-6697
OA Status:Closed
Publisher DOI:https://doi.org/10.1055/a-0640-8933

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