PMC4531757_01
Insufficiency fractures: MCTD in 40 year-old woman.. (A) An anteroposterior view of plain radiograph of the pelvis taken on Nov. 1995 shows osteoporosis.. (B) She developed left groin pain aggravated by activity. Follow-up plain pelvis study on Jan. 1997 reveals fractures (arrows) in the right parasymphyseal bone and left pubic rami, accompanied by osteolysis, osteosclerosis and bone fragmentation.. (C) Five months later, healing of the fractures with callus formation is noted.
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Pelvis X-ray previously checked was unremarkable except for an osteoporotic change (Figure 1A). A plain radiograph of the pelvis revealed insufficiency fractures of parasymphyseal and left pubic rami (Figure 1B). After 5 months, a follow-up pelvis X-ray revealed the healing of parasymphyseal fracture (Figure 1C).