Turkish Journal of Geriatrics
2017 , Vol 20, Issue 1
SACRAL STRESS FRACTURE IN GERIATRICS: A CASE REPORT
Antalya Training and Research Hospital, Department of Orthopedics and Traumatology ANTALYA
The diagnosis of sacral stress fractures in geriatrics is often neglected because of lumbar pains
and referred pains. We report regarding a 67-year-old woman who complained of chronic back pain
and right hip pain that persisted despite analgesic therapy. Flexion-abduction-external-rotation
(FABER), GaenslenÂ’s, and Scour test were positive on the right side of the patientÂ’s examination,
but squish test was not. The patient‘s neurologic examination was normal. Although computed
tomography and X-rays of the hip and lumbosacral areas revealed no obvious pathology, sacral
stress fracture was diagnosed using magnetic resonance imaging, which was performed because
of the patientÂ’s chronic pain. This report aimed to draw attention to low back and hip pains
in geriatrics because of probable sacral stress fractures and to emphasize on the importance of
available radiological modalities for an accurate diagnosis.
Keywords :
Geriatrics; Fractures, Stress; Magnetic resonance imaging