INSUFFICIENCY FRACTURES OF THE SACRUM AND OS PUBIS

Insufficiency fractures are increasingly seen among postmenopausal wom en. Sacral fractures are difficult to detect clinically and radiograph ically, while os pubis fractures may mimic malignancy. Diagnosis is ma de by bone scintigraphy, supplemented by computed tomography. As patie nts respond well to conservative management, increased awareness and u se of appropriate imaging may avoid unnecessary and invasive investiga tions.