Postpartum Sacral Stress Fracture: An Atypical Case Report

Andrea Speziali, Matteo Maria Tei, Giacomo Placella, Giuliano Giorgio Cerulli, Marco Chillemi

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

Abstract

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.
Lingua originaleEnglish
pagine (da-a)N/A-N/A
RivistaCASE REPORTS IN ORTHOPEDICS
Volume2015
DOI
Stato di pubblicazionePubblicato - 2015

Keywords

  • LOW BACK PAIN
  • POST PARTUM

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