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SACRAL STRESS FRACTURE IN GERIATRICS: A CASE REPORT

机译:老年病患者的应力性骨折:一例病例报告

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The diagnosis of sacral stress fractures in geriatrics is often neglected because of lumbar painsand referred pains. We report regarding a 67-year-old woman who complained of chronic back painand right hip pain that persisted despite analgesic therapy. Flexion-abduction-external-rotation(FABER), Gaenslen’s, and Scour test were positive on the right side of the patient’s examination,but squish test was not. The patient‘s neurologic examination was normal. Although computedtomography and X-rays of the hip and lumbosacral areas revealed no obvious pathology, sacralstress fracture was diagnosed using magnetic resonance imaging, which was performed becauseof the patient’s chronic pain. This report aimed to draw attention to low back and hip painsin geriatrics because of probable sacral stress fractures and to emphasize on the importance ofavailable radiological modalities for an accurate diagnosis.
机译:由于腰部疼痛和牵涉性疼痛,常常忽略了骨应力性骨折的诊断。我们报道了一位67岁的妇女,尽管进行了止痛治疗,但她抱怨慢性腰痛和右髋痛一直持续。屈曲外展旋转(FABER),Gaenslen和Scour测试在患者检查的右侧呈阳性,而挤压试验则不然。患者的神经系统检查正常。尽管髋部和腰s部的X线计算机断层扫描和X线检查未显示明显病理,但使用磁共振成像诊断出stress骨应力性骨折是由于患者的慢性疼痛而进行的。本报告旨在提请人们注意可能存在的low骨应力性骨折所致的老年患者的腰背和髋部疼痛,并着重强调可用放射学方法对准确诊断的重要性。

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