Postpartum sacral stress fracture: An unusual case of low-back and buttock pain

American Journal of Physical Medicine and Rehabilitation

Volumn 87, Issue 5, 2008, Pages 418-422

  Karataş, Metin ^a,b   Başaran, Ceyla ^a   Özgül, Esra ^a   Tarhan, Çaǧla ^a   Aǧildere, A Muhteşem ^a  

^a BASKENT UNIVERSITY   (Turkey)

^b Üniversiteler Mahallesi ^*  (Turkey)

Author keywords

MR Imaging; Postpartum; Sacrum; Stress Fracture

Indexed keywords

ANALGESIC AGENT; CALCIUM; VITAMIN D; BONE DENSITY CONSERVATION AGENT;

ADULT; ARTICLE; BONE DENSITY; BUTTOCK; CASE REPORT; CESAREAN SECTION; FEMALE; FEMUR; HUMAN; INJURY; LABORATORY TEST; LACTATION; LOW BACK PAIN; LUMBAR SPINE; OSTEOPOROSIS; PHYSICAL ACTIVITY; PHYSICAL EXAMINATION; PREGNANCY; RANGE OF MOTION; RISK FACTOR; SACRUM; STRESS FRACTURE; VITAMIN SUPPLEMENTATION; WEIGHT GAIN; ANIMAL; BED REST; COMPUTER ASSISTED TOMOGRAPHY; FRACTURE; NUCLEAR MAGNETIC RESONANCE IMAGING; PREGNANCY COMPLICATION; PUERPERIUM;

ADULT; ANIMALS; BED REST; BONE DENSITY CONSERVATION AGENTS; CESAREAN SECTION; FEMALE; FRACTURES, BONE; FRACTURES, STRESS; HUMANS; LOW BACK PAIN; MAGNETIC RESONANCE IMAGING; POSTPARTUM PERIOD; PREGNANCY; PREGNANCY COMPLICATIONS; SACRUM; TOMOGRAPHY, X-RAY COMPUTED;

EID: 42449092869     PISSN: 08949115     EISSN: None     Source Type: Journal    
DOI: 10.1097/PHM.0b013e318164a8e6     Document Type: Article

References (24)

1. Lourie H: Spontaneous osteoporotic fracture of the sacrum. An under recognized syndrome of the elderly. JAMA 1982;248:715-7
2. Mathers D, Allen L, Heller A: Insufficiency fractures of the sacrum. Ann Rheum Dis 1993;52:621-4
3. Lin JT, Lachmann E, Nagler W: Sacral insufficiency fractures: a report of two cases and a review of literature. J Women's Health Gend Based Med 2001;10:699-705
4. Eller DJ, Katz D, Bergman AG, et al: Sacral stress fractures in long-distance runners. Clin J Sport Med 1997;7:222-5
5. Major NM, Helms CA: Sacral stress fractures in long-distance runners. AJR Am J Roentgenol 2000;174:727-9
6. Shah MK, Stewart GW: Sacral stress fractures. An unusual cause of low back pain in an athlete. Spine 2002;27:104-8
7. Hoang TA, Nguyen TH, Daffner RH, Lupetin AR, Deeb ZL: Case report 491: stress fracture of the right sacrum. Skeletal Radiol 1988;17:364-7
8. Breuil V, Brocq O, Euller-Ziegler L, Grimaud A: Insufficiency fracture of the sacrum revealing a pregnancy associated osteoporosis. First case report. Ann Rheum Dis 1997;56:278-9
9. Schmid L, Pfirrmann C, Hess T, Schlumpf U: Bilateral fracture of the sacrum associated with pregnancy: a case report. Osteoporos Int 1999;10:91-3
10. Sibilia J, Javier RM, Werle C, Kuntz JL: Fracture of the sacrum in the absence of osteoporosis of pregnancy: a rare skeletal complication of the postpartum. Br J Obstet Gynaecol 1999;106:1096-7
11. Thienpont E, Simon JP, Fabry G: Sacral stress fracture during pregnancy - a case report. Acta Orthop Scand 1999;70:525-6
12. Rousiere M, Kahan A, Job-Deslandre C: Postpartal sacral fracture without osteoporosis. Joint Bone Spine 2001;68:71-3
13. Narvaez J, Narvaez JA: Post-partal sacral fatigue fracture. Rheumatology (Oxford) 2003;42:384-5
14. Lin JT, Lutz GE: Postpartum sacral fracture presenting as lumbar radiculopathy: a case report. Arch Phys Med Rehabil 2004;85:1358-61
15. Heckman JD, Sassard R: Musculoskeletal considerations in pregnancy. J Bone Joint Surg Am 1994;76:1720-30
16. Kent G, Price R, Guterridge D: Human lactation: forearm trabecular bone loss, increased bone turnover, and renal conservation of calcium and inorganic phosphate with recovery of bone mass following weaning. J Bone Miner Res 1990;5:361-9
17. Nordin BE, Roper A: Post pregnancy osteoporosis. A syndrome? Lancet 1955;1:431-4
18. Saraux A, Bourgeais F, Ehrhart A, Baron D, Legoff P: Pregnancy associated osteoporosis. Four case reports. Rev Rheum 1993;60:499-503
19. Smith R, Athansou NA, Ostlee SJ, Vipond SE: Pregnancy-associated osteoporosis. QJM 1995;88:865-78
20. Leroux JL, Denat B, Thomas E, Blotman F, Bonnel F: Sacral insufficiency fractures during pregnanacy presenting as acute low-back pain. Biomechanical aspects. Spine 1993;18:2502-6
21. Aylwin A, Saifuddin A, Tucker S: L5 radiculopathy due to sacral stress fracture. Skeletal Radiol 2003;32:590-3
22. Peh WC, Khong PL, Ho WY, Yeung HW, Luk KD: Sacral insufficiency fractures: spectrum of radiological features. Clin Imaging 1995;19:92-101
23. Ahovuo JA, Kiuru MJ, Visuri T: Fatigue stress fractures of the sacrum: diagnosis with MR imaging. Eur Radiol 2004;14:500-5
24. Babayev M, Lachmann E, Nagler W: The controversy surrounding sacral insufficiency fractures. To ambulate or not to ambulate? Am J Phys Med Rehabil 2000;79:404-9