Abstract
To the Editor: We describe healing of enhanced insufficiency fracture of combined pubic rami and sacrum by daily teriparatide (1–34 PTH) injection. A 73-year-old woman was admitted because of acute low back and groin pain. She denied any trauma history. Plain radiographs revealed fracture of the left superior ramus (Figure 1A). Because of the disproportionate pain … Address correspondence to Dr. C-T. Yu, Section of Bone Disease, Department of Orthopedic Surgery, Changhua Christian Hospital, 135 Nan-shiao Street, Changhua City 500, Taiwan. E-mail: ortho.yu{at}msa.hinet.net
Highlights
To the Editor: We describe healing of enhanced insufficiency fracture of combined pubic rami and sacrum by daily teriparatide (1-34 PTH) injection
Teriparatide injection was initiated with calcium 1000 mg/day and vitamin D 400 IU/day supplements for osteoporosis
Sacral combined with rami insufficiency fractures usually occur in osteoporotic bone and are often underdiagnosed[1]
Summary
To the Editor: We describe healing of enhanced insufficiency fracture of combined pubic rami and sacrum by daily teriparatide (1-34 PTH) injection. A 73-year-old woman was admitted because of acute low back and groin pain. Plain radiographs revealed fracture of the left superior ramus (Figure 1A).
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