Sacral Stress Fracture in a Runner: A Case Report

Rodrigues, Luciano Miller Reis; Ueno, Fabrício Hidetoshi; Filho, Edgar Santiago Valesin; Fujiki, Edison Noboru; Milani, Carlo

doi:10.1590/s1807-59322009001100014

Cited by 8 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sacral stress fractures are rare among athletes. Previous reports have shown that the fractures most frequently occur in long distance runners [ 1 , 2 ]. Stress fractures of the sacrum have also been sporadically reported in a hockey player, tennis player, soccer player, and volleyball player [ 3 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

Sacral Stress Fracture in an Amateur Badminton Player

Yuasa

Miyakoshi

Hongo

et al. 2017

Case Reports in Orthopedics

View full text Add to dashboard Cite

Sacral stress fractures are rare among athletes but have been reported most frequently in long distance runners. We report herein the first case of a sacral stress fracture in an amateur badminton player. A 16-year-old, left-handed adolescent girl, who had just started to play badminton 3 months previously, complained of acute left buttock pain when she received a shuttlecock. Magnetic resonance imaging revealed a linear lesion of the left sacrum with low signal intensity on T1- and high signal intensity on T2-weighted images, which was consistent with a stress fracture. Conservative treatment with rest relieved her symptoms. Her fracture was considered to have occurred due to repetition of an exercise that caused excessive vertical power.

show abstract

Section: Introductionmentioning

confidence: 99%

Sacral Stress Fracture in an Amateur Badminton Player

Yuasa

Miyakoshi

Hongo

et al. 2017

Case Reports in Orthopedics

View full text Add to dashboard Cite

show abstract

“…This injury is rare in young athletes and has only been described in this population in a few case reports to this point. 1,2,6-10 These injuries occur from a variety of sports, from running to badminton to weightlifting. 6,7,10 These injuries can occur in both female and male athletes and military recruits.…”

mentioning

confidence: 99%

Sacral Stress Fractures: A Rare but Curable Cause of Back Pain in Athletes

et al. 2019

View full text Add to dashboard Cite

Background: Stress fractures of the sacrum are an uncommon cause of low back and buttock pain in athletes. They have been described in a few case reports, with the injury occurring most often in female distance runners. Given the rarity of this condition, there is a general lack of awareness of this injury, which may lead to a missed or delayed diagnosis. Study Design: Case series. Level of Evidence: Level 5. Methods: The 5 cases were identified by performing a medical records search within the practices of the senior authors over a 3-year period from January 2016 to December 2018. Results: Three of 5 patients (1 male, 2 females) returned to regular activity after diagnosis and treatment. Two (1 male, 1 female) have yet to return to regular activity. Magnetic resonance imaging was the key modality in all diagnoses. All 3 female patients had components of the female athlete triad—menstrual irregularity, disordered eating, and decreased bone mineral density. Conclusion: A high index of suspicion is required to make the correct diagnosis and initiate treatment for this rare condition given its association with low body mass index, vitamin D insufficiency, disordered eating, and malabsorption disorders. Appropriate treatment includes rest from the causative activity, nutritional support, and biomechanical optimization. In severe, chronic, or recurrent cases, referral for nutritional counseling, hormonal replacement therapies, and mental health support may be necessary. Clinical Relevance: Sacral stress fractures, though uncommon, should be included prominently in the differential diagnosis for runners with low back pain, especially if the athlete has a history of prior stress fracture or the female athlete triad.

show abstract