Received : 15 May 2000 ;
accepted : 24 October 2000
Postpartal sacral fracture without osteoporosis
Service de rhumatologie A, hôpital Cochin, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France
Correspondence and reprints
Stress fractures of the sacrum during pregnancy or the postpartum seem uncommon. We report a new case of nontrauma-related postpartal sacral fracture. Only four similar cases have been reported to date. The patient was 36 years of age and her fracture was diagnosed four weeks after her first delivery. Vitamin D levels were low, but there was no osteomalacia. Other standard laboratory tests were normal, as were absorptiometry measurements at the lumbar spine and femur. Rheumatologists should consider sacral fracture in pregnant or nursing patients with buttock pain. Magnetic resonance imaging is the diagnostic investigation of choice.
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