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The "Honda sign" (H-pattern [1]) is a radiologic sign seen in case of sacral insufficiency fracture in bilateral sacral insufficiency fractures on a radioisotope bone scan. [2] It gets its name because the shape observed resembles the logo of the Honda motor company, resembling the alphabet "H".
A sacral fracture is a break in the sacrum bone. The sacrum is the large triangular bone that forms the last part of the vertebral column from the fusion of the five sacral vertebrae. Sacral fractures are relatively uncommon. They tend to be caused by high-energy trauma, for example in road traffic accidents or in falls. [1]
Pelvic fractures make up around 3% of adult fractures. [1] Stable fractures generally have a good outcome. [1] The risk of death with an unstable fracture is about 15%, while those who also have low blood pressure have a risk of death approaching 50%. [2] [4] Unstable fractures are often associated with injuries to other parts of the body. [3]
Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting ...
Clay-shoveler fracture – fracture through the spinous process of a vertebra occurring at any of the lower cervical or upper thoracic vertebrae; Burst fracture – in which a vertebra breaks from a high-energy axial load; Compression fracture – a collapse of a vertebra, often resulting in the form of a wedge-shape due to larger compression ...
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The sacral canal as a continuation of the vertebral canal runs throughout the greater part of the sacrum. The sacral angle is the angle formed by the true conjugate with the two pieces of sacrum. [clarification needed] Normally, it is greater than 60 degrees. A sacral angle of lesser degree suggests funneling of the pelvis. [clarification needed]
The joints are covered by two different kinds of cartilage; the sacral surface has hyaline cartilage and the iliac surface has fibrocartilage. [2] The SIJ's stability is maintained mainly through a combination of only some bony structure and very strong intrinsic and extrinsic ligaments. [5] The joint space is usually 0.5 to 4 mm. [6]