Pelvic stress fracture in female runners.

Stress fractures are a common injury in long-distance runners, and typically involve the lower extremities. Although relatively rare, pubic ramus stress fractures also occur, primarily in female runners. Bone imaging visualized a pubic stress fracture and a tibial stress fracture in a female long-distance runner with groin pain. Pubic stress fractures should be considered in female runners who present with groin pain. Radionuclide bone imaging is useful in diagnosing these lesions.