Haller J, Kindynis P, Resnick D, Murray W T, Cervilla V
Department of Radiology, Veterans Administration Medical Center, San Diego, California.
Can Assoc Radiol J. 1989 Oct;40(5):277-8.
We report a patient with a stress fracture in the sacrum. This may be a cause of hip or back pain. In contrast to typically bilateral insufficiency fractures, fatigue fractures are usually unilateral and the appearances are not diagnostic on scintigraphy. As the plain film findings may be subtle and overlooked, computed tomography is more specific in delineating a sclerotic vertical fracture parallel to the sacroiliac joint. Recognition of the characteristic radiographic pattern in sacral fatigue fractures can avoid incorrect diagnosis and unnecessary tests or treatment.
我们报告了一名患有骶骨应力性骨折的患者。这可能是髋部或背部疼痛的一个原因。与典型的双侧骨质疏松性骨折不同，疲劳性骨折通常是单侧的，且骨闪烁显像的表现并无诊断意义。由于平片表现可能不明显而被忽视，计算机断层扫描在描绘与骶髂关节平行的硬化性垂直骨折方面更具特异性。认识骶骨疲劳性骨折的特征性影像学表现可避免误诊及不必要的检查或治疗。
