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Unusual Iliac Crest Stress Fracture in a Marathoner: A Case Presentation
Amy M West1,2, Kelly C McInnis1,2
1Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, 300 1st Avenue, Charlestown, MA 02129.
Abstract:
This case presentation describes a 50-year-old healthy woman who developed left-sided hip pain while training for the Boston Marathon. Magnetic resonance imaging demonstrated a stress fracture of the left iliac body. This injury was unique in that it did not occur in the setting of low bone mineral density and it did not fall into the current published radiographic categorization based on location of injury. This case illustrates an uncommon and atypical bone stress injury in an endurance athlete. It should be considered in the differential diagnosis of runners presenting with hip or lumbopelvic pain.
Level Of Evidence:
V.
