md-medicaldata

Authors

 

Sofija Subin-Teodosijević¹ ,Jelena Zvekić-Svorcan^2,3, Tanja Janković^2,3, Bojana Pavlović², Tatjana Radaković¹, Vladimir Arbutinov^1
1 Opšta bolnica "Đorđe Joanović", Zrenjanin, Srbija
² Specijalna bolnica za reumatske bolesti Novi Sad, Srbija
³ Univerzitet u Novom Sadu, Medicinski fakultet, Novi Sad, Srbija

 

• Rad je primljen 15.11.2016., revidiran 18.11.2016. Prihvaćen 27.11.2016.

 

 

Correspondence to:
Dr Sofija Subin – Teodosijević
Opšta bolnica " Đorđe Joanović " Zrenjanin, Srbija
e-mail: subinsvs@gmail.com
Tel.:+381 60 55-24-553

 

 

Abstract

 

"Sacral insufficiency fracture" (SIF) usually occurs in elderly patientswith osteoporosis or otherconditionsaffecting bone metabolism without clear indication of the trauma. Early diagnosis is usually not possibledue to many diseases with similar symptoms and signs common in elderly peopleand difficulties in the interpretation of the classic X-ray images, which results in different focus of examination. The clinical suspicion of SIF requires magnetic resonance imaging as the most sensitive and most specific diagnostic method  and,  if necessary,  skeletal scintigraphy. The characteristic “Honda” or “H” sign is usually diagnostic of  SIF.  Osteoporosis usually coexists inelderly patients with rheumatoid arthritis, hence, the case of a patient with an unexpected causeof the back pain was chosen to draw attention to this entity.

 

Key words

sacral insufficiency fracture, "Honda sign", osteoporosis

 

 

References

 

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PDF Subin Teodosijević S. et al •MD-Medical Data 2016;8(4): 261-264