A Review on Management of Insufficiency Fractures of the Pelvis and Acetabulum

Colin K Cantrell; Bennet A Butler

doi:10.1016/j.ocl.2022.06.007

A Review on Management of Insufficiency Fractures of the Pelvis and Acetabulum

Orthop Clin North Am. 2022 Oct;53(4):431-443. doi: 10.1016/j.ocl.2022.06.007. Epub 2022 Sep 14.

Authors

Colin K Cantrell¹, Bennet A Butler²

Affiliations

¹ Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 North Saint Clair, Suite 1350, Chicago, IL 60611, USA. Electronic address: colincantrellmd@gmail.com.
² Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 North Saint Clair, Suite 1350, Chicago, IL 60611, USA.

PMID: 36208886
DOI: 10.1016/j.ocl.2022.06.007

Abstract

"Insufficiency fractures of the pelvis and acetabulum are occurring at increasing rates. Osteoporosis is the most prevalent risk fracture. Diagnosis begins with plain radiographs followed by advanced imaging with computed tomography and/or MRI. Pelvic ring fragility injuries are classified by the Fragility fractures of the pelvis system. Elderly acetabular fractures may be classified by the Letournel system. Management of these injuries is primarily nonoperative with early immobilization when allowed by fracture characteristics. When warranted, percutaneous fixation and open reduction internal fixation are options for both. Both acute and delayed total hip arthroplasty are options for acetabular fractures."

Keywords: Acetabular fracture; Fragility fracture; Insufficiency fracture; Osteoporosis; Pelvic fracture.

Publication types

Review

MeSH terms

Acetabulum / injuries
Acetabulum / surgery
Aged
Arthroplasty, Replacement, Hip*
Fracture Fixation, Internal / methods
Fractures, Bone* / diagnostic imaging
Fractures, Bone* / surgery
Fractures, Stress* / diagnosis
Fractures, Stress* / therapy
Humans
Pelvis / surgery
Radiography