Sacral insufficiency fractures: an easily overlooked cause of back pain in the ED

被引：16

作者：

Galbraith, John G. ^{[1
,2
]}

Butler, Joseph S. ^{[2
]}

Blake, Simon P. ^{[3
]}

Kelleher, Gemma ^{[1
]}

机构：

[1] Cork Univ Hosp, Dept Emergency Med, Cork, Ireland

[2] Cork Univ Hosp, Dept Trauma & Orthopaed Surg, Cork, Ireland

[3] S Infirmary Victoria Univ Hosp, Dept Radiol, Cork, Ireland

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2011年 / 29卷 / 03期

关键词：

SACROPLASTY; WOMEN;

D O I：

10.1016/j.ajem.2010.04.015

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Sacral insufficiency fractures are an important and treatable cause of severe back pain. Despite publication of several case reports since its original description in 1982, awareness of these injuries remains inadequate in emergency medicine. Most patients are elderly women presenting with intractable lower back pain. Postmenopausal osteoporosis is the most significant risk factor. Marked sacral tenderness is common. Neurologic impairment is rarely detectable. Routine radiography of the spine and pelvis is usually inconclusive. Computed tomography remains the diagnostic modality of choice. Treatment is usually conservative.

引用

页码：359.e5 / 359.e6

页数：2

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