scholarly journals Misdiagnosis of Sacral Stress Fracture: An Underestimated Cause of Low Back Pain in Pregnancy?

2015 ◽  
Vol 16 ◽  
pp. 60-64 ◽  
Author(s):  
Luis Alvarez
2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Andrea Speziali ◽  
Matteo Maria Tei ◽  
Giacomo Placella ◽  
Marco Chillemi ◽  
Giuliano Cerulli

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.


2015 ◽  
Vol 6 (1) ◽  
pp. 74-75
Author(s):  
V. Anand ◽  
A. Yadav ◽  
R. Singh ◽  
V. Sidhu ◽  
J. Sikdar ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Tatsuro Sasaji ◽  
Hideki Imaizumi ◽  
Hiroyuki Takano ◽  
Hideo Saitoh ◽  
Taishi Murakami ◽  
...  

While 22 articles have reported on sacral stress fractures, it is a rare injury and its etiology is not well known. We present the case of a 16-year-old male who presented with low back pain in 2015. He was a high school soccer player with a previous history of a bilateral L5 lumbar spondylolysis in 2014. The patient refrained from soccer and wore a brace for six months. Two months after restarting soccer, he again complained of low back pain. After 1 year, a lumbar spine computed tomography revealed the bone union of the spondylolysis. At his first visit to our hospital, his general and neurological conditions were normal and laboratory data were within the normal range. Sacral coronal magnetic resonance imaging (MRI) of the left sacral ala revealed an oblique lineal signal void surrounding bone marrow edema. Based on his symptoms, sports history, and MRI, he was diagnosed with a sacral stress fracture. He again refrained from soccer; his low back pain soon improved, and, after 1 year, the abnormal signal change had disappeared on sacral MRI. Recurrent low back pain case caused by a sacral stress fracture occurring after the bone union of lumbar spondylolysis is uncommon.


2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Miguel Pishnamaz ◽  
Richard Sellei ◽  
Roman Pfeifer ◽  
Philipp Lichte ◽  
Hans C Pape ◽  
...  

2018 ◽  
Vol 1 (19) ◽  
pp. 22
Author(s):  
Iulia Filipescu ◽  
Mihai Berteanu ◽  
George Alexandru Filipescu ◽  
Radu Vlădăreanu

2013 ◽  
Vol 13 (12) ◽  
pp. e27-e29 ◽  
Author(s):  
Fioravante Capone ◽  
Paolo Profice ◽  
Fabio Pilato ◽  
Marcella Zollino ◽  
Cesare Colosimo ◽  
...  

2003 ◽  
Vol 21 (1-2) ◽  
pp. 36-41 ◽  
Author(s):  
Max Forrester

The aim of this case report is to discuss the subject of acupuncture in pregnancy and which acupuncture points, or areas, are safe to needle. Low back pain in a 21-year-old Caucasian primigravida at 24 weeks gestation was incapacitating and acupuncture was offered. Prior to pregnancy investigations had excluded a serious organic cause and acupuncture was employed successfully to control pain and improve function. Acupuncture can be offered to sufferers of low back pain in pregnancy after risk / benefit analysis is undertaken and informed patient consent is obtained.


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