Pavlov H, Nelson T L, Warren R F, Torg J S, Burstein A H
J Bone Joint Surg Am. 1982 Sep;64(7):1020-5.
Twelve stress fractures of the pubic arch were seen in eleven patients who were joggers, long-distance runners, or marathoners. In two of the fractures there were complications of healing; that is, delayed union or refracture. With two exceptions, the lesions occurred in women between the ages of nineteen and forty-eight. In all of the patients the fracture was in the inferior pubic ramus near the symphysis pubis, and caused pain in the groin, buttock, or thigh. All fractures were non-displaced and easy to overlook on the initial radiographic examination; when a fracture of the pubic arch was clinically suspected but the radiographs were normal, a radionuclide bone scan was diagnostic. After identification of the fracture, running had to be curtailed until the symptoms disappeared in order for healing to occur.
在11名慢跑者、长跑运动员或马拉松运动员中发现了12例耻骨弓应力性骨折。其中两例骨折出现了愈合并发症，即延迟愈合或再骨折。除两例外，病变均发生在19至48岁的女性中。所有患者的骨折均位于耻骨联合附近的耻骨下支，引起腹股沟、臀部或大腿疼痛。所有骨折均无移位，在最初的X线检查中容易被忽视；当临床怀疑耻骨弓骨折但X线片正常时，放射性核素骨扫描具有诊断价值。骨折确诊后，必须停止跑步，直到症状消失，骨折才能愈合。
