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Postpartum Sacral Stress Fracture: An Atypical Case Report

Sacral stress fractures are common in elderly people. However, sacral stress fracture should be always screened in the differential diagnoses of low back pain during the postpartum period. We present a case of sacral fracture in a thirty-six-year-old woman with low back pain and severe right buttock...

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Autores principales: Speziali, Andrea, Tei, Matteo Maria, Placella, Giacomo, Chillemi, Marco, Cerulli, Giuliano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515257/
https://www.ncbi.nlm.nih.gov/pubmed/26246926
http://dx.doi.org/10.1155/2015/704393
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author Speziali, Andrea
Tei, Matteo Maria
Placella, Giacomo
Chillemi, Marco
Cerulli, Giuliano
author_facet Speziali, Andrea
Tei, Matteo Maria
Placella, Giacomo
Chillemi, Marco
Cerulli, Giuliano
author_sort Speziali, Andrea
collection PubMed
description Sacral stress fractures are common in elderly people. However, sacral stress fracture should be always screened in the differential diagnoses of low back pain during the postpartum period. We present a case of sacral fracture in a thirty-six-year-old woman with low back pain and severe right buttock pain two days after cesarean section delivery of a 3.9 Kg baby. The diagnosis was confirmed by MRI and CT scan, while X-ray was unable to detect the fracture. Contribution of mechanical factors during the cesarean section is not a reasonable cause of sacral fracture. Pregnancy and lactation could be risk factors for sacral stress fracture even in atraumatic delivery such as cesarean section. Our patient had no risk factors for osteoporosis except for pregnancy and lactation. Transient or focal osteoporosis is challenging to assess and it cannot be ruled out even if serum test and mineral density are within the normal range.
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spelling pubmed-45152572015-08-05 Postpartum Sacral Stress Fracture: An Atypical Case Report Speziali, Andrea Tei, Matteo Maria Placella, Giacomo Chillemi, Marco Cerulli, Giuliano Case Rep Orthop Case Report Sacral stress fractures are common in elderly people. However, sacral stress fracture should be always screened in the differential diagnoses of low back pain during the postpartum period. We present a case of sacral fracture in a thirty-six-year-old woman with low back pain and severe right buttock pain two days after cesarean section delivery of a 3.9 Kg baby. The diagnosis was confirmed by MRI and CT scan, while X-ray was unable to detect the fracture. Contribution of mechanical factors during the cesarean section is not a reasonable cause of sacral fracture. Pregnancy and lactation could be risk factors for sacral stress fracture even in atraumatic delivery such as cesarean section. Our patient had no risk factors for osteoporosis except for pregnancy and lactation. Transient or focal osteoporosis is challenging to assess and it cannot be ruled out even if serum test and mineral density are within the normal range. Hindawi Publishing Corporation 2015 2015-07-12 /pmc/articles/PMC4515257/ /pubmed/26246926 http://dx.doi.org/10.1155/2015/704393 Text en Copyright © 2015 Andrea Speziali et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Speziali, Andrea
Tei, Matteo Maria
Placella, Giacomo
Chillemi, Marco
Cerulli, Giuliano
Postpartum Sacral Stress Fracture: An Atypical Case Report
title Postpartum Sacral Stress Fracture: An Atypical Case Report
title_full Postpartum Sacral Stress Fracture: An Atypical Case Report
title_fullStr Postpartum Sacral Stress Fracture: An Atypical Case Report
title_full_unstemmed Postpartum Sacral Stress Fracture: An Atypical Case Report
title_short Postpartum Sacral Stress Fracture: An Atypical Case Report
title_sort postpartum sacral stress fracture: an atypical case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4515257/
https://www.ncbi.nlm.nih.gov/pubmed/26246926
http://dx.doi.org/10.1155/2015/704393
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