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    Sacral insufficiency fractures: an easily overlooked cause of back pain in the ED.

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    Authors
    Galbraith, John G
    Butler, Joseph S
    Blake, Simon P
    Kelleher, Gemma
    Affiliation
    Department of Emergency Medicine, Cork University Hospital, Cork, Ireland. johng442@hotmail.com
    Issue Date
    2011-03
    MeSH
    Aged
    Back Pain
    Emergency Service, Hospital
    Female
    Fractures, Stress
    Humans
    Sacrum
    Tomography, X-Ray Computed
    
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    Citation
    Sacral insufficiency fractures: an easily overlooked cause of back pain in the ED. 2011, 29 (3):359.e5-6 Am J Emerg Med
    Journal
    The American journal of emergency medicine
    URI
    http://hdl.handle.net/10147/128450
    DOI
    10.1016/j.ajem.2010.04.015
    PubMed ID
    20675092
    Abstract
    Sacral insufficiency fractures are an important and treatable cause of severe back pain. Despite publication of several case reports since its original description in 1982, awareness of these injuries remains inadequate in emergency medicine. Most patients are elderly women presenting with intractable lower back pain. Postmenopausal osteoporosis is the most significant risk factor. Marked sacral tenderness is common. Neurologic impairment is rarely detectable. Routine radiography of the spine and pelvis is usually inconclusive. Computed tomography remains the diagnostic modality of choice. Treatment is usually conservative.
    Item Type
    Article
    Language
    en
    ISSN
    1532-8171
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ajem.2010.04.015
    Scopus Count
    Collections
    Cork University Hospital

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