What are the signs of pubic and sacral fractures in patients with osteoporosis?

Updated: Jan 20, 2021
  • Author: Rachel Elizabeth Whitaker Elam, MD, MSc; Chief Editor: Herbert S Diamond, MD  more...
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Patients with pubic and sacral fractures may have the following:

  • Marked pain with ambulation
  • Tenderness to palpation, percussion, or both
  • With sacral fractures, pain with physical examination techniques used to assess the sacroiliac joint (eg, FABER, Gaenslen, or squish test)

Balance difficulties may be evident, especially in patients with an altered center of gravity from severe kyphosis. [3] Patients may have difficulty performing tandem gait and performing single limb stance.

See Presentation for more detail.

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