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Korean Journal of Bone Metabolism 2005;12(1):31-35.
Pubic Insufficiency Fractures in Osteoporotic Patients
골다공증 환자에서 발생한 치골 부전 골절
장재석,염윤석,정수영,정광환1,안형선2
울산대학교 의과대학 서울아산병원 정형외과학교실, 울산대학교병원 정형외과학교실1, 강릉아산병원 정형외과2
Abstract
Background
This study was aimed to evaluate the clinical and radiological characteristics of the pubic insufficiency fracture in the patients with osteoporosis and to analyze the correlation between osteoporosis and pubic insufficiency fracture. Materials and Methods: We evaluated six patients (six cases) who had been followed up for more than four months between February 2002 and August 2004. All the patients were female. The mean age of the patients was 79 years (70 years to 89 years). Bone mineral density was measured in all cases. Eight patients who underwent operation due to traumatic proximal femoral fracture were selected as control group and their BMD were compared with those of study group.
Results
The mean femoral neck T-score in the patients of pubic insufficiency fracture was -3.12 (-2.2~-4) and the one in the control group was -2.28 (-1.5~-3.5), which showed significant differences between the two groups (p<0.05). Patients complained the groin or buttock pain without the trauma history and in all cases, fracture was developed unilaterally. Bone scan showed the abnormal hot uptake in the pubic area. Conservative treatment including medication for the osteoporosis resulted in improving symptoms and radiological union of fracture.
Conclusion
Pubic insufficiency fracture in the patients with osteoporosis is not so uncommon and careful examination is necessary when patients complain the groin or buttock pain without the trauma history. Bone scan is helpful for early diagnosis. In most cases, fractures heal within a few weeks by conservative treatment.
Key Words: Osteoporosis, Pubis, Insufficiency fracture


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