Semin Musculoskelet Radiol 2008; 12(1): 062-071
DOI: 10.1055/s-2008-1067938
Published by Thieme Medical Publishers

Imaging of Stress Injuries of the Pelvis

Scot E. Campbell1 , Ryan S. Fajardo1
  • 1Department of Radiology, Musculoskeletal Imaging Section, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Texas
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Publikationsdatum:
01. April 2008 (online)

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ABSTRACT

Stress fractures are common, representing the final stage in a continuum of bone response to continued mechanical damage. Encompassing fatigue- and insufficiency-type fractures, stress fractures of the pelvis are likely underreported. Radiographs are insensitive to stress injuries, particularly those in the pelvis, whereas scintigraphy and magnetic resonance imaging are exquisitely sensitive. In this article we discuss the pathophysiology and imaging appearances of stress injuries of the pelvis and sacrum. Relevant literature regarding risk factors, problem-solving issues, and an imaging algorithm are discussed, with the goal of improving accuracy in the diagnosis of these common injuries.

REFERENCES

Scot E CampbellM.D. 

Department of Radiology, Wilford Hall Medical Center

2200 Bergquist Dr., Ste. 1, Lackland AFB, TX 78236

eMail: scot.campbell@lackland.af.mil