Sacral Fatigue Fracture in a Female Runner: A Case Report
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.
aDiagnostic Imaging Resident, Logan College of Chiropractic, Chesterfield, MO
bChair, Department of Radiology, Logan College of Chiropractic, Chesterfield, MO
cDirector, Rocky Mountain Chiropractic Radiological Center, Denver, Colo
dPrivate Practice, Spine and Sports Injury Center, Boston, Mass
Submit requests for reprints to: Norman W. Kettner, DC, Chair, 1851 Schoettler Road, Chesterfield, MO 63017.
ABSTRACT