Volume 10, Issue 7 pp. 775-778
Case Presentation

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

Amy M. West MD, EdM

Corresponding Author

Amy M. West MD, EdM

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

Disclosure: nothing to disclose

Address correspondence to A.M.W.Search for more papers by this author
Kelly C. McInnis DO

Kelly C. McInnis DO

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

Disclosure: nothing to disclose

Search for more papers by this author
First published: 13 November 2017
Citations: 4

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

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