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AJR 2002; 178:423-427
© American Roentgen Ray Society

Original Report

Nontraumatic Avulsions of the Pelvis

Liem T. Bui-Mansfield1,2,3, Felix S. Chew2, Leon Lenchik2, Mitch J. Kline4 and Carol A. Boles2

1 Department of Radiology, Keller Army Community Hospital, West Point, NY 10996.
2 Department of Radiology, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157-1088.
3 Department of Radiology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799.
4 Section of Musculoskeletal Radiology, Diagnostic Radiology/A21, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195.

OBJECTIVE. The purpose of this report is to describe the imaging findings of nontraumatic avulsions of the pelvis.

CONCLUSION. A diagnosis of avulsion fracture of the pelvis in an adult without appropriate history of substantial trauma must raise the suspicion of an underlying malignancy. If a patient has not been diagnosed as having a primary neoplasm, additional imaging evaluation is recommended. Also, biopsy may be considered in the proper clinical setting.


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