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Osteoporotic Sacral Insufficiency Fractures in a Patient With Alternating Buttock Pain: A Case Report

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Journal Article

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Pasifika Medical Association Group

Abstract

Lower back and buttock pain in older adults is often attributed to lumbar or hip degenerative pathology.1 However, in patients with multimorbidity, particularly those with malignancy or osteoporosis, broader causes must be considered. We present a 71-year-old female with three episodes of intractable, alternating buttock pain over 12 months, diagnosed with bilateral sacral insufficiency fractures (SIFs) upon orthopaedic consultation. This case illustrates the diagnostic challenge of SIFs and the importance of multidisciplinary management in fragility fracture care.

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New Zealand Medical Journal, ISSN: 1175-8716 (Online), Pasifika Medical Association Group, 138(1621), 106-109. doi: 10.26635/6965.7066

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Open Access. The NZMJ offers free open access for all individuals that subscribe to the journal. The NZMJ is fully available to individual subscribers and does not incur a subscription fee.