ABSTRACT

Sacral fractures due to direct trauma are very rare. Sacral fractures usually occur as a result of high energy trauma, and are accompanied by pelvic fractures in 40–50% of cases. With conventional radiological techniques, sacrum fractures can be overlooked due to intestinal gas, the shadow of the bladder or the shape of the sacrum itself. It needs to be kept in mind that 35% of sacral fractures can be overlooked in X-rays. In the presence of clinical suspicion, computerized tomography is needed for a diagnosis.

We report here the diagnosis by computerized tomography of a sacrum fracture of a 20-year-old man, who suffered from an S4 fracture with a rare mechanism of injury, and received conservative treatment.