马拉松运动员髂嵴应力性骨折：病例报告。

Unusual Iliac Crest Stress Fracture in a Marathoner: A Case Presentation.

机构信息

Department 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.

Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA; Department of Sports Medicine, Massachusetts General Hospital, Boston, MA.

出版信息

PM R. 2018 Jul;10(7):775-778. doi: 10.1016/j.pmrj.2017.11.009. Epub 2017 Nov 13.

DOI:10.1016/j.pmrj.2017.11.009

PMID:29146288

Abstract

UNLABELLED

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

摘要

本病例报告描述了一位 50 岁健康女性，在为波士顿马拉松训练时出现左侧髋部疼痛。磁共振成像显示左侧髂体应力性骨折。这种损伤是独特的，它不是发生在低骨密度的情况下，也不属于目前基于损伤部位的影像学分类。本病例说明了一种在耐力运动员中不常见和非典型的骨应力损伤。在诊断出现髋部或腰骶部疼痛的跑步者时应考虑到这种损伤。