Figure 1. A 79-year-old female presenting with recurrent minor falls and right hip pain. Plain film of pelvis demonstrating fractures of superior and inferior pubic rami on the left side. The sacrum shows generalized sclerosis. Note is also made of sclerosis at the left L5/S1 facet joint secondary to degenerative change. CT (not shown) confirmed bilateral sacral fractures and healing fractures of the left pubic rami.