Hiperparatroidili bir Hastada Pubik ve sakral Yetmezlik Kırığı: Olgu sunumu

Öz

Yetmezlik kırıkları direnci azalmış kemiğe uygulanan normal veya fizyolojik bir stresin sonucu gelişen stres kırığının bir alt tipidir. Bu kırıklar kemiğin elastisitesinin veya mineral içeriğinin anormal olduğu birçok durumda ortaya çıkar. Yetmezlik kırığının en sık görülen sebebi postmenopozal osteoporozdur. Diğer önemli nedenler senil osteoporoz, osteomalazi, hiperparatroidi, radyasyon uygulanması, kortikosteroid tedavisi ve romatoid artrittir. Yetmezlik Kırığı ciddi kasık, kalça ağrısı ve güçsüzlüğü olan postmenopozal kadınlarda akla gelmelidir. Bu yazıda hiperparatroidisi olan bir hastada üst ve alt pubik ramusun yetmezlik kırığı ile birlikte sakral yetmezlik kırığı bulunan olgunun klinik ve radyolojik bulguları sunulmuştur.

Anahtar Kelimeler

• Yetmezlik kırığı, hiperparatroidi

Pubic and Sacral Insufficiency Fracture in a Patient with Hyperparathyroidism

Abstract

Insufficiency fractures are subtype of stres fractures which occur when normal or physiological stresses are placed on weakened bone. These fractures occur in a variety of conditions in which the mineral content or the elasticity of bone is abnormal. The most common cause of insufficieny fracture is postmenopausal osteoporosis. The other important causes are, senile osteoporosis, osteomalacia, hyperparathyroidism, irradiation, corticosteroid treatment and rheumatoid arthritis. Insufficiency fracture should be suspected in a postmenopausal women presenting with severe groin and buttock pain and weakness. We presented here the clinical and radiological findings of Sacral insufficiency together superior and inferior pubic ramus insufficiency fracture in a patient with hyperparathyroidism.

Keywords

• Insufficiency fracture, hyperparathyroidism

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