Journal of Manipulative and Physiological Therapeutics
Volume 30, Issue 3 , Pages 228-233, March 2007

Sacral Fatigue Fracture in a Female Runner: A Case Report

  • Daniel W. Haun, DC

      Affiliations

    • Diagnostic Imaging Resident, Logan College of Chiropractic, Chesterfield, MO
    • ,
  • Norman W. Kettner, DC

      Affiliations

    • Chair, Department of Radiology, Logan College of Chiropractic, Chesterfield, MO
    • Corresponding Author InformationSubmit requests for reprints to: Norman W. Kettner, DC, Chair, 1851 Schoettler Road, Chesterfield, MO 63017.
    • ,
  • Terry R. Yochum, DC

      Affiliations

    • Director, Rocky Mountain Chiropractic Radiological Center, Denver, Colo
    • ,
  • Richard L. Green, DC

      Affiliations

    • Private Practice, Spine and Sports Injury Center, Boston, Mass

Received 28 April 2006; received in revised form 18 May 2006; accepted 1 June 2006.

Abstract 

Objective

This case report describes and discusses the clinical presentation, diagnosis, and management of a patient with a sacral fatigue fracture.

Clinical Features

A 26-year-old female long-distance runner presented with nonspecific low-back and buttock pain that prevented her from training.

Intervention and Outcome

Radiographic findings on the patient's lumbar spine and pelvis were interpreted as normal. Single-photon emission computed tomography and magnetic resonance imaging were performed, revealing a fatigue fracture of the left sacral ala. The patient discontinued training for 6 months and gradually returned to running.

Conclusions

A high index of suspicion should prompt investigation with skeletal scintigraphy, computed tomography, or magnetic resonance imaging. Sacral stress fractures may respond well to conservative measures if diagnosed in a timely fashion.

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PII: S0161-4754(07)00052-8

doi:10.1016/j.jmpt.2007.01.007

Journal of Manipulative and Physiological Therapeutics
Volume 30, Issue 3 , Pages 228-233, March 2007

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