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- W2057545416 abstract "Insufficiency fractures about the pelvis are usually a diagnosis of exclusion with rare clinical significance. The insidious onset and progression of groin or low back pain in patients can pose a diagnostic dilemma. Differential diagnosis of these symptoms includes: mechanical back pain, degenerative disc disease, muscle spasm, osteoarthritis or malignancy [5,15,17]. Insufficiency fractures usually occur in elderly, mainly female individuals during normal activities of daily living. Stress fractures usually occur in younger, competitive female athletes [1,3–5,7,8,12,14]. The common thread is lowered fatigue strength secondary to osteoporosis, osteomalacia or other disease states thus allowing lower loads (normal activities) or fewer loading cycles to result in osseous failure [6]. Recent literature suggests that prolonged anterior pelvic instability can lead to late posterior instability [1,9]. There are many case reports and small series in the literature regarding pubic rami stress fractures and insufficiency fractures of the sacrum [3–5,7,8,10,11,13–17]. None, however, describe pelvic instability resulting from a stress fracture mechanism. We report the case of a fracture dislocation of the sacroiliac joint following chronic bilateral anterior pubic rami stress fractures." @default.
- W2057545416 created "2016-06-24" @default.
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- W2057545416 date "2003-07-01" @default.
- W2057545416 modified "2023-09-28" @default.
- W2057545416 title "Late posterior pelvic instability following chronic insufficiency fracture of the pubic rami" @default.
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- W2057545416 doi "https://doi.org/10.1016/s0020-1383(02)00386-8" @default.
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