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DIAGNOSIS

Findings are suggestive of Bilateral Pelvic Insufficiency fractures of the sacral ala

RADPEARLS

nsufficiency fractures are a subtype of stress fracture that results from normal stress applied to abnormal bone that has lost its elastic resistance

bone scintigraphy and MR imaging are the most sensitive

T2 short ? inversion recovery sequences are exquisitely sensitive for the detection of early marrow edema related to SIF

commonly affect elderly women with osteoporosis

Further Reading