Isolated transverse sacrum fracture: a case report

Area of Science:

• Orthopedic surgery
• Trauma care

Background:

• Sacral fractures are typically high-energy injuries, often seen in older women as insufficiency fractures.
• Transverse sacral fractures are rare, accounting for 3-5% of sacral fractures and often associated with pelvic fractures.
• These fractures present diagnostic challenges due to their rarity and infrequent presentation.

Observation:

• A unique case of an isolated transverse sacral fracture in a young male is presented.
• The injury resulted from low-energy trauma, deviating from the usual high-energy mechanism.
• The patient sought medical attention several hours post-injury, with diagnosis confirmed via clinical presentation and radiography.

Findings:

• The case highlights an unusual demographic and mechanism for transverse sacral fractures.
• Diagnosis was achieved through standard clinical evaluation and roentgenogram findings.
• This case underscores the importance of considering sacral fractures even in younger individuals with low-energy trauma.

Implications:

• This case expands the understanding of potential mechanisms and patient profiles for transverse sacral fractures.
• It emphasizes the need for vigilance in diagnosing sacral fractures, irrespective of typical patient demographics.
• Clinical features and radiographic evidence remain crucial for identifying these rare injuries.