{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:12Z","timestamp":1787004852423,"version":"build-2736575974"},"reference-count":36,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background Fragility fractures of the pelvis (FFP) encompass two fracture entities: fracture after low-energy trauma and insufficiency fracture without trauma. It is unclear whether the two subgroups differ in terms of diagnosis and therapy. The aim of this retrospective study was to evaluate insufficiency fractures with regard to defined parameters and to compare specific parameters with the fractures after low-energy trauma.<\/jats:p>\n                  <jats:p>Patients and Methods In the period from 2008 to 2017, 203 patients with FFP were recorded at our clinic (Level 1\u2009Trauma Centre DGU, SAV approval). Of these, 25 had an insufficiency fracture and 178 had a pelvic ring fracture after low-energy trauma. Epidemiological, diagnostic and therapeutic parameters were examined.<\/jats:p>\n                  <jats:p>Results There was a relative increase in the insufficiency fracture within the FFP (2008\u200a\u2013\u200a2009: 5.0% vs. 2015\u200a\u2013\u200a2017: 17.8%). In these patients, osteoporosis tended to be more pronounced than in patients after low-energy trauma (t-value: \u2212\u20093.66 vs. \u2212\u20093.13). The diagnosis of insufficiency fractures showed increased use of MRI and DECT (60.9% vs. 26.0%) and a high proportion of type IV fractures after FFP (40.0% vs. 7.9%). In terms of therapy, surgical treatment of the insufficiency fracture was sought more often (68,2% vs. 52,1%), with a tendency towards increased use of combined osteosynthesis procedures (14.3% vs. 7.6%).<\/jats:p>\n                  <jats:p>Conclusion We were able to show that as the number of cases increases, the insufficiency fracture becomes more important within FFP. If these patients tend to have more pronounced osteoporosis, particular attention should be paid to the diagnosis and adequate therapy of the osteoporosis, especially in the case of an insufficiency fracture. In addition to the increased diagnostic testing using MRI and DECT to detect oedema and the increased surgical therapy for this type of fracture, it is also noteworthy that the insufficiency fracture can cause higher-grade fractures after FFP.<\/jats:p>","DOI":"10.1055\/a-1394-6502","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T18:55:26Z","timestamp":1618858526000},"page":"497-506","source":"Crossref","is-referenced-by-count":11,"title":["Insufficiency Fractures vs. Low-Energy Pelvic Ring Fractures \u2013 Epidemiological, Diagnostic and Therapeutic Characteristics of Fragility Fractures of the Pelvic Ring"],"prefix":"10.1055","volume":"160","author":[{"given":"Manuel","family":"Sterneder","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sports Traumatology, Armed Forces Hospital Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Lang","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sports Traumatology, Armed Forces Hospital Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Joachim","family":"Riesner","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sports Traumatology, Armed Forces Hospital Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carsten","family":"Hackenbroch","sequence":"additional","affiliation":[{"name":"Department of Radiology and Neuroradiology, Armed Forces Hospital Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedikt","family":"Friemert","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sports Traumatology, Armed Forces Hospital Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1100-8820","authenticated-orcid":false,"given":"Hans-Georg","family":"Palm","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, Erlangen University Medical Centre, Erlangen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"ref1","first-page":"70","article-title":"Osteoporotic pelvic fractures","volume":"115","author":"L Oberkircher","year":"2018","journal-title":"Dtsch Arztebl Int"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1007\/s00113-016-0168-2","article-title":"Einfluss des Beckenregisters der DGU auf die Versorgung von Beckenringfrakturen","volume":"119","author":"J H Holstein","year":"2016","journal-title":"Unfallchirurg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"151","DOI":"10.3928\/01477447-20140225-50","article-title":"Geriatric Fractures About the Hip: Divergent Patterns in the Proximal Femur, Acetabulum, and Pelvis","volume":"37","author":"M P Sullivan","year":"2014","journal-title":"Orthopedics"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.1016\/j.injury.2013.06.023","article-title":"Comprehensive classification of fragility fractures of the pelvic ring: Recommendations for surgical treatment","volume":"44","author":"P M Rommens","year":"2013","journal-title":"Injury"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1055\/s-0043-103763","article-title":"Die augmentierte iliosakrale Schraube bei Beckenfrakturen im Alter","volume":"33","author":"N Gr\u00fcneweller","year":"2017","journal-title":"OP-Journal"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1007\/s00113-010-1762-3","article-title":"Versorgungskonzept der Beckenringverletzung des alten Patienten: Eine Herausforderung","volume":"113","author":"U Culemann","year":"2010","journal-title":"Unfallchirurg"},{"key":"ref7","first-page":"351","article-title":"[Insufficiency fractures of the pelvic ring]","volume":"116","author":"F M Stuby","year":"2013","journal-title":"Unfallchirurg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1055\/s-0042-110208","article-title":"Dual Energy CT \u2013 a Novel Technique for Diagnostic Testing of Fragility Fractures of the Pelvis","volume":"155","author":"C Hackenbroch","year":"2017","journal-title":"Z Orthop Unfall"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1080\/17453670510044634","article-title":"Pelvic ramus fractures in the elderly","volume":"76","author":"T DA Cosker","year":"2009","journal-title":"Acta Orthop"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1016\/j.rcl.2012.04.009","article-title":"Imaging of stress fractures of the spine","volume":"50","author":"N S Murthy","year":"2012","journal-title":"Radiol Clin North Am"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1055\/s-0043-117738","article-title":"Dual Energy Computed Tomography in Musculoskeletal Imaging, with Focus on Fragility Fractures of the Pelvis","volume":"155","author":"C Hackenbroch","year":"2017","journal-title":"Z Orthop Unfall"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1007\/s00402-019-03283-8","article-title":"Dual-energy CT as an innovative method for diagnosing fragility fractures of the pelvic ring: a retrospective comparison with MRI as the gold standard","volume":"140","author":"H-G Palm","year":"2020","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s00113-019-0643-7","article-title":"Fragilit\u00e4tsfrakturen des Beckens","volume":"122","author":"P M Rommens","year":"2019","journal-title":"Unfallchirurg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1007\/s00113-011-2020-z","article-title":"Beckenringfrakturen im Alter. Die untersch\u00e4tzte osteoporotische Fraktur","volume":"114","author":"T Fuchs","year":"2011","journal-title":"Unfallchirurg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1017\/S1481803500012732","article-title":"Low-impact pelvic fractures in the emergency department","volume":"12","author":"G Dodge","year":"2010","journal-title":"CJEM"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/00005131-199701000-00003","article-title":"Pubic rami fracture: a benign pelvic injury?","volume":"11","author":"K J Koval","year":"1997","journal-title":"J Orthop Trauma"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1007\/s00402-009-0942-5","article-title":"Fractures of the pubic rami: a retrospective review of 534 cases","volume":"129","author":"D Krappinger","year":"2009","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"e195","DOI":"10.1016\/j.ijrobp.2012.03.042","article-title":"Insufficiency Fractures After Pelvic Radiation Therapy for Uterine Cervical Cancer: An Analysis of Subjects in a Prospective Multi-institutional Trial, and Cooperative Study of the Japan Radiation Oncology Group (JAROG) and Japanese Radiation Oncology","volume":"84","author":"S Tokumaru","year":"2012","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1007\/s00393-006-0089-5","article-title":"Insuffizienzfrakturen in der Rheumatologie","volume":"65","author":"R Dreher","year":"2006","journal-title":"Z Rheumatol"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"e145","DOI":"10.1097\/BOT.0b013e3182323f2c","article-title":"Secondary causes of osteoporosis in fracture patients","volume":"26","author":"E R Bogoch","year":"2012","journal-title":"J Orthop Trauma"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"526","DOI":"10.3113\/FAI.2012.0526","article-title":"Current concept reviews: vitamin D and stress fractures","volume":"33","author":"M P McCabe","year":"2012","journal-title":"Foot Ankle Int"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1007\/s002560100344","article-title":"Pelvic instability after bone graft harvesting from posterior iliac crest: report of nine patients","volume":"30","author":"K Chan","year":"2001","journal-title":"Skeletal Radiol"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"E699","DOI":"10.1097\/BRS.0b013e31817e03db","article-title":"Sacral fractures complicating thoracolumbar fusion to the sacrum","volume":"33","author":"E C Papadopoulos","year":"2008","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.archger.2017.03.007","article-title":"Pelvic ring fractures in the elderly now and then \u2013 a pelvic registry study","volume":"71","author":"M F Rollmann","year":"2017","journal-title":"Arch Gerontol Geriatr"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1080\/17453670510044634","article-title":"Pelvic ramus fractures in the elderly: 50 Patients studied with MRI","volume":"76","author":"T DA Cosker","year":"2005","journal-title":"Acta Orthop"},{"key":"ref26","first-page":"477","article-title":"Einfluss der Standard-Computertomografie hinsichtlich Frakturklassifikation und Therapie von Beckenringfrakturen bei Patienten \u00fcber dem 65.\u2009Lebensjahr","volume":"150","author":"J B\u00f6hme","year":"2012","journal-title":"Z Orthop Unfall"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1007\/s00068-015-0530-z","article-title":"Fragility fractures of the sacrum: how to identify and when to treat surgically?","volume":"41","author":"D Wagner","year":"2015","journal-title":"Eur J Trauma Emerg Surg"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1055\/a-0965-7686","article-title":"Magnetic Resonance Imaging in Pelvic Fractures \u2013 Part 2: Gaining Information and Clinical Therapeutic Relevance","volume":"158","author":"C Hackenbroch","year":"2020","journal-title":"Z Orthop Unfall"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1055\/a-1192-7583","article-title":"Fragilit\u00e4tsfrakturen des Beckenrings \u2013 f\u00fchrt der \u00d6demnachweis zu mehr Operationen?","author":"P Lang","year":"2020","journal-title":"Z Orthop Unfall"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1177\/230949900701500320","article-title":"Sacral insufficiency fractures","volume":"15","author":"O S Schindler","year":"2007","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1007\/s00068-020-01480-4","article-title":"Progressive instability of bilateral sacral fragility fractures in osteoporotic bone: a retrospective analysis of X-ray, CT, and MRI datasets from 78 cases","volume":"47","author":"T Mendel","year":"2021","journal-title":"Eur J Trauma Emerg Surg"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.injury.2014.10.050","article-title":"Significance of clinical examination, CT and MRI scan in the diagnosis of posterior pelvic ring fractures","volume":"46","author":"J V N\u00fcchtern","year":"2015","journal-title":"Injury"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1055\/a-0965-7589","article-title":"Magnetic Resonance Imaging in Pelvic Fractures \u2013 Part 1: Which Criteria Lead Us to Supplementary MRI Diagnostics?","volume":"158","author":"P Lang","year":"2020","journal-title":"Z Orthop Unfall"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"1966","DOI":"10.1016\/j.injury.2019.08.038","article-title":"Progress of instability in fragility fractures of the pelvis: An observational study","volume":"50","author":"P M Rommens","year":"2019","journal-title":"Injury"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1007\/s00223-015-0056-8","article-title":"Low-Trauma Pelvic Fractures in Elderly Finns in 1970\u20132013","volume":"97","author":"P Kannus","year":"2015","journal-title":"Calcif Tissue Int"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1093\/ageing\/aft212","article-title":"Increasing rates of pelvic fractures among older adults: The Netherlands, 1986\u20132011","volume":"43","author":"G L Nanninga","year":"2014","journal-title":"Age Ageing"}],"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und 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