Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.
JBJS Case Connect. 2021 Apr 19;11(2):01709767-202106000-00035. doi: e20.00541.
A 49-year-old man, who had started jogging 3 months before his first participation in a marathon race, presented with acute pain and difficulty walking that began during the marathon race. Tumors and bone metabolism factors were ruled out by blood examination and various imaging findings. Isolated iliac wing fatigue fracture was diagnosed and treated with conservative therapy.
This is the first English-literature report we know of an isolated iliac wing stress fracture in a male marathon runner without underlying disease. Our study highlights the importance of considering this rare fracture when diagnosing patients presenting with iliac pain.
一名 49 岁男性,在首次参加马拉松比赛前 3 个月开始慢跑,在马拉松比赛中出现急性疼痛和行走困难。通过血液检查和各种影像学发现排除了肿瘤和骨代谢因素。诊断为孤立髂翼疲劳性骨折,采用保守治疗。
这是我们所知的首例无基础疾病的男性马拉松跑者孤立性髂翼应力性骨折的英文文献报道。我们的研究强调了在诊断出现髂部疼痛的患者时,考虑这种罕见骨折的重要性。