Radiograph insufficiency fracture of the pubic ramus

The plain radiograph of the pelvis is from a 95-year-old male who sustained minimal trauma and complained of left groin pain. Image A is magnified in B and reveals a nondisplaced fracture of the superior pubic ramus (arrow). A left inferior pubic ramus fracture is seen with difficulty in (C), and magnified and highlighted in D (arrowhead). These findings are consistent with insufficiency fractures of the superior and inferior pubic rami.