Pelvic insufficiency fractures associated with radiation atrophy: Clinical recognition and diagnostic evaluation

Skeletal Radiology

Volumn 26, Issue 2, 1997, Pages 94-99

  Mumber, Matthew P ^a   Greven, Kathryn M ^a   Haygood, Tamara Miner ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

Author keywords

Fractures, MRI; Pelvis, fractures; Pelvis, radionuclide studies; Radiation, injurious effects, complications of; Therapeutic radiology; Tomography, positron emission; Tomography, X ray computed

Indexed keywords

ADULT; AGED; ARTICLE; BONE ATROPHY; CASE REPORT; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; DIFFERENTIAL DIAGNOSIS; DISEASE COURSE; FEMALE; HUMAN; METASTASIS; NUCLEAR MAGNETIC RESONANCE IMAGING; PELVIS FRACTURE; POSITRON EMISSION TOMOGRAPHY; POSTMENOPAUSE; PRIORITY JOURNAL; RADIATION INJURY; RADIODIAGNOSIS; RADIOTHERAPY; SECOND CANCER; TUMOR RECURRENCE;

AGED; DIAGNOSIS, DIFFERENTIAL; FEMALE; FRACTURES, SPONTANEOUS; HUMANS; MAGNETIC RESONANCE IMAGING; MIDDLE AGED; PELVIC BONES; RADIATION INJURIES; RADIOTHERAPY, HIGH-ENERGY; RECTAL NEOPLASMS; TOMOGRAPHY, EMISSION-COMPUTED; TOMOGRAPHY, X-RAY COMPUTED; UTERINE CERVICAL NEOPLASMS;

EID: 0031045237     PISSN: 03642348     EISSN: None     Source Type: Journal    
DOI: 10.1007/s002560050200     Document Type: Article

References (36)

1. Fu AL, Greven KM, Maruyama Y. Radiation osteitis and insufficiency fractures after pelvic irradiation for gynecologic malignancies. Am J Clin Oncol 1994; 17: 248-254.
2. 99mTc-methylene diphosphonate scintigraphy. AJR 1992; 158: 599-602.
3. Grigsby PW, Roberts HL, Perez CA. Femoral neck fracture following groin irradiation. Int J Radiat Oncol Biol Phys 1995; 32: 63-67.
4. Phillips TW, Rao DR. Destructive arthropathy of the hip following pelvic irradiation: report of four cases. Can J Surg 1989; 32: 353-357.
5. Engel IA, Straus DJ, Lacher M, Lane J, Smith J. Osteonecrosis in patients with malignant lymphoma: a review of twenty-five cases. Cancer 1981; 48: 1245-1250.
6. Marty R, Denney JD, McKamey MR, Rowley MJ. Bone trauma and related benign disease: assessment by bone scanning. Semin Nucl Med 1976; 6: 107-120.
7. Rafii M, Firooznia H, Golimbu C, Horner N. Radiation induced fractures of sacrum: CT diagnosis. J Comput Assist Tomogr 1988; 12: 231-235.
8. Yousem DM, Magid D, Scott WW Jr, Fishman EK. Treated invasive cervical carcinoma: utility of computed tomography in distinguishing between skeletal metastases and radiation necrosis. Clin Imaging 1989; 13: 147-153.
9. Blomlie V, Lien HH, Iversen T, Winderen M, Tvera K. Radiation-induced insufficiency fractures of the sacrum: evaluation with MR imaging. Radiology 1993; 188: 241-244.
10. Wahl RL, Cody RL, Hutchins GD, Mudgett EE. Primary and metastatic breast carcinoma: initial clinical evaluation with PET with the radiolabeled glucose analogue 2-[F-18]-fluoro-2-deoxy-D-glucose. Radiology 1991; 179: 765-770.
11. Kim EE, Moon TY, Wong FCL, Wong WH, Delpassand E, Podoloff DA. Role of FDG PET in evaluation of therapeutic responses in bone lymphoma (abstract). Radiology 1993; 189(P): 200.
12. Hawkins RA, Hoh C, Glaspy J, Rege S, Choi Y, Phelps ME. Positron emission tomography scanning in cancer. Cancer Invest 1994; 12: 74-87.
13. Mogard J, Kihlström L, Ericson K, Karlsson B, Guo W-Y, Stone-Elander S. Recurrent tumor vs radiation effects after gamma knife radiosurgery of intracerebral metastases: diagnosis with PET-FDG. J Comput Assist Tomogr 1994; 18: 177-181.
14. Kim EE, Chung S-K, Tilbury R, Mullani N, Podoloff DA, Lamki LM, Haynie TP, Yung A, Ajani J. Differentiation of residual or recurrent tumors from post-treatment changes with PET using F-18 FDG (abstract). J Nucl Med 1990; 31: 803.
15. Cooper KL. Insufficiency stress fractures. Curr Probl Diagn Radiol 1994; 23: 29-68.
16. Resnick D. Diagnosis of bone and joint disorders vol 5, 3rd edn. Philadelphia: WB Saunders, 1995; 2580-2593, 3276-3308.
17. Lourie H. Spontaneous osteoporotic fracture of the sacrum: an unrecognized syndrome of the elderly. JAMA 1982; 248: 715-717.
18. Weber M, Hasler P, Gerber H. Insufficiency fractures of the sacrum: twenty cases and review of the literature. Spine 1993; 18: 2507-2512.
19. Leroux JL, Denat B, Thomas E, Blotman F, Bonnel F. Sacral insufficiency fractures presenting as acute low-back pain: biomechanical aspects. Spine 1993; 18: 2502-2506.
20. Cooper KL, Beabout JW, Swee RG. Insufficiency fractures of the sacrum. Radiology 1985; 156: 15-20.
21. Davies AM, Evans NS, Struthers GR. Parasymphyseal and associated insufficiency fractures of the pelvis and sacrum. Br J Radiol 1988; 61: 103-108.
22. De Smet AA, Neff JR. Pubic and sacral insufficiency fractures: clinical course and radiologic findings. AJR 1985; 145: 601-606.
23. Libshitz HI. Radiation changes in bone. Semin Roentgenol 1994; 29: 15-37.
24. Ergün H, Howland WJ. Postradiation atrophy of mature bone. Crit Rev Diagn Imaging 1980; 12: 225-243.
25. Corn BW, Lanciano RM, Greven KM, Noumoff J, Schultz D, Hanks GE, Fowble BL. Impact of improved irradiation technique, age, and lymph node sampling on the severe complication rate of surgically staged endometrial cancer patients: a multivariate analysis. J Clin Oncol 1994; 12: 510-515.
26. Howland WJ, Loeffler RK, Starchman DE, Johnson RG. Postirradiation atrophic changes of bone and related complications. Radiology 1975; 117: 677-685.
27. Overgaard M. Spontaneous radiation-induced rib fractures in breast cancer patients treated with postmastectomy irradiation: a clinical radiobiological analysis of the influence of fraction size and dose-response relationships on late bone damage. Acta Oncol 1988; 27: 117-122.
28. Lundin B, Björkholm E, Lundell M, Jacobsson H. Insufficiency fractures of the sacrum after radiotherapy for gynaecological malignancy. Acta Oncol 1990; 29: 211-215.
29. Hasselbacher P, Schumacher HR. Bilateral protusio acetabuli following pelvic irradiation. J Rheumatol 1977; 4: 189-196.
30. Deleeuw HW, Pottenger LA. Osteonecrosis of the acetabulum following radiation therapy: a report of two cases. J Bone Joint Surg Am 1988; 70: 293-299.
31. Zenny JC, Bergiron C, Chassagne D, Couanet D, Ibrahim E, Masselot J. Signes radiographiques des radiolésions du bassin (fémurs exclus) après irradiation pelvienne pour épithélioma du col utérin. J Radiol 1980; 61: 261-267.
32. Jones AR, Lachiewicz PF. Pathologic Malgaigne fracture following pelvic irradiation: a case report. Clin Orthop 1987; 221: 226-230.
33. Greven KM, Lanciano RM, Herbert SH, Hogan PE. Analysis of complications in patients with endometrial carcinoma receiving adjuvant irradiation. Int J Radiat Oncol Biol Phys 1991; 21: 919-923.
34. Guttenberg SA. Osteoradionecrosis of the jaw. Am J Surg 1974; 127: 26-332.
35. Ries T. Detection of osteoporotic sacral fractures with radionuclides. Radiology 1983; 146: 783-785.
36. Blomlie V, Rotstad EK, Skjønsberg A, Tverå K, Lien HH. Female pelvic bone marrow: serial MR imaging before, during, and after radiation therapy. Radiology 1995; 194: 537-543.