A new type of iliac fracture due to bone insufficiency

BACKGROUND: The iliac bone is an uncommon localization for bone insufficien cy fractures. We report a new type. CASE REPORT: A 51-year-old woman with postmenopause osteoporosis was seen f ora fracture of the ischiopubic branch of the iliac bone. X-ray also reveal ed an unknown fracture situated above the anterior superior iliac spine con tinuing cranially and medially towards the iliac crest DISCUSSION: Three types of iliac fractures due to bone deficiency have been described. Type 1, (oblique iliac), the fracture is oblique beginning in t he greater sciatic notch and extending a more or less into the iliac wing. Type 2 (superior medial iliac) involves the most medial part of the iliac w ing, approximately parallel to the sacroiliac joint In type 3 (supra-acetab ular), the fracture is in a supra-acetabular localization. Our case suggest s a fourth type should be individualized.