Unit:
Faculty of MedicineLibrary of the School of Health Sciences
Author:
Tsatsaragkou Aikaterini
Dissertation committee:
Τρουπής Θεόδωρος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Λιονής Χρήστος, Καθηγητής, Ιατρική Σχολή, Πανεπιστήμιο Κρήτης
Πρωτογέρου Βασίλειος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Πιάγκου Μάρα, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Μαυρογένης Ανδρέας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Φιλίππου Δημήτριος, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Κουλάλης Δημήτριος, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Ανατομική και θεραπευτική προσέγγιση καταγμάτων καταπόνησης του ιερού οστού
Translated title:
Anatomical and therapeutic approach to fatigue sacral fractures
Summary:
Fatigue sacral fractures (FSFs) are rare and often misdiagnosed. This study presents a series of FSFs and a meticulous literature review. The present is a 23 year (2000-2022) retrospective observational study. The characteristics of all adult patients with FSF, including demographics, fracture type, treatment, history of fatigue fracture and imaging were evaluated.Seventeen cases (13 females, 76,5%), suffering from 21 fractures (4 bilateral cases) with mean age=33.6 years were studied. Three patients (17.6%) had suffered another fatigue fracture in the past. Mean symptoms’ duration prior diagnosis was 7.1 weeks, while mean symptoms’ duration after diagnosis was 8.4. In most cases (14; 82.4%), MRI revealed the fracture. According to the Kaeding-Miller classification; nine fractures (42.9%) were type II, eight (38.1%) III and four (19%) IV. All patients were treated conservatively, with rest and analgesics, while three received vitamin D and calcium. One patient, due to delayed union, was commenced on teriparatide. FSFs are often misdiagnosed; therefore, they should be included in the differential diagnosis for chronic low back-or-hip pain in athletes. History of other fatigue injuries seems to be a predisposing factor. It is of paramount importance to obtain advanced imaging for identifying a FSF.
Main subject category:
Health Sciences
Keywords:
Fatigue fractures, Sacral, Anatomical variations, Fatigue sacral fractures, Predisposing factor
