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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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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. |
format | Online Article Text |
id | pubmed-4515257 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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