Universität zu Köln

Spiegl, Ulrich Josef Albert, Schnake, Klaus John, Osterhoff, Georg, Scheyerer, Max J., Ullrich, Bernhard, Bula, Philipp and Siekmann, Holger (2019). Imaging of Sacral Stress and Insufficiency Fractures. Z. Orthop. Unfallchir., 157 (2). S. 144 - 153. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 1864-6743

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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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spiegl, Ulrich Josef Albert UNSPECIFIED UNSPECIFIED UNSPECIFIED Schnake, Klaus John UNSPECIFIED UNSPECIFIED UNSPECIFIED Osterhoff, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Scheyerer, Max J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ullrich, Bernhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Bula, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Siekmann, Holger UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-151826
DOI:	10.1055/a-0640-8933
Journal or Publication Title:	Z. Orthop. Unfallchir.
Volume:	157
Number:	2
Page Range:	S. 144 - 153
Date:	2019
Publisher:	THIEME MEDICAL PUBL INC
Place of Publication:	NEW YORK
ISSN:	1864-6743
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BONE-MINERAL DENSITY; LOW-BACK-PAIN; PELVIC RING FRACTURES; FRAGILITY FRACTURES; COMPUTED-TOMOGRAPHY; RISK-FACTORS; CT; INJURIES; OSTEOPOROSIS; TRAUMA Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15182