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©2013 UpToDate ® Print Email CT scan insufficiency fracture of the pubic ramus The CT scan of the pelvis is from a 95-year-old male who sustained minimal trauma and complained of left groin pain. The transverse images using bone windows reveal a nondisplaced fracture of the superior pubic ramus (A, green arrow) and a fracture through the inferior pubic ramus (B, red arrow) These findings are consistent with insufficiency fractures of the left pubic rami. Courtesy of Gregory Waryasz, MD.