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Bilateral sacral fractures

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Bilateral sacral fractures

History: History (can include gestational age, or age in days, weeks, months):77 y/o Caucasian female with past medical history significant for Stage IIa bladder cancer treated with radiation therapy complaining of progressive left leg and hip pain that occurs while standing. Onset of pain and difficulty ambulating began just after her treatment for bladder cancer a few months ago. Over the last three weeks, she has lost the ability to walk without experiencing pain. Pain radiates from her left buttock to her knee and relieved when sitting, lying down, or using a heating pad. Patient has had two recent physical therapy visits, which provided notable relief but most recent visit provided no such relief. Patient also notes prior history of pain in her buttocks while walking. She has a questionable history of a fall a few weeks ago for which she did not seek medical care.

Findings: A-P radiograph of the pelvis can not adequately evaluate the pelvis secondary to obscuration by contrast-enhanced bowel. No hip fracture is seen.Axial CT of sacrum with bone windows shows shows bilateral sacral insufficiency fractures. Coronal reformatted CT of sacrum confirms bilateral sacral fractures.

Ddx: Differential Diagnosis for these findings in this case:1. Insufficiency fracture secondary to radiation therapy2. Insufficiency fracture secondary to osteoporosis3. Fracture secondary to trauma

Exam: Phsical examination is positive straight leg raising test on the left

No MeSH data available.


Bilateral sacral fractures
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MPX1432_synpic21430: Bilateral sacral fractures


Bilateral sacral fractures

Patterson RAP - MedPix

Bilateral sacral fractures
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1432&req=5

MPX1432_synpic21430: Bilateral sacral fractures

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Bilateral sacral fractures

History: History (can include gestational age, or age in days, weeks, months):77 y/o Caucasian female with past medical history significant for Stage IIa bladder cancer treated with radiation therapy complaining of progressive left leg and hip pain that occurs while standing. Onset of pain and difficulty ambulating began just after her treatment for bladder cancer a few months ago. Over the last three weeks, she has lost the ability to walk without experiencing pain. Pain radiates from her left buttock to her knee and relieved when sitting, lying down, or using a heating pad. Patient has had two recent physical therapy visits, which provided notable relief but most recent visit provided no such relief. Patient also notes prior history of pain in her buttocks while walking. She has a questionable history of a fall a few weeks ago for which she did not seek medical care.

Findings: A-P radiograph of the pelvis can not adequately evaluate the pelvis secondary to obscuration by contrast-enhanced bowel. No hip fracture is seen.Axial CT of sacrum with bone windows shows shows bilateral sacral insufficiency fractures. Coronal reformatted CT of sacrum confirms bilateral sacral fractures.

Ddx: Differential Diagnosis for these findings in this case:1. Insufficiency fracture secondary to radiation therapy2. Insufficiency fracture secondary to osteoporosis3. Fracture secondary to trauma

Exam: Phsical examination is positive straight leg raising test on the left

No MeSH data available.