Fatigue stress fractures of the pelvis: A rare cause of low back pain in female athletes

Acta Orthopaedica Belgica

Volumn 76, Issue 6, 2010, Pages 838-843

  Nusselt, Thomas ^a,b   Klinger, Hans Michael ^a,b   Schultz, Wolfgang ^a,b   Baums, Mike Herbert ^a,b  

^a University of Göltingen   (Germany)

^b UNIVERSITY OF GÖTTINGEN   (Germany)

Author keywords

Athlete; Fatigue fracture; Insufficiency fracture; Low back pain

Indexed keywords

ADULT; ARTICLE; CASE REPORT; FEMALE; HUMAN; INJURY; LOW BACK PAIN; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; PATHOLOGY; PATHOPHYSIOLOGY; RUNNING; SACRUM; SPORT; STRESS FRACTURE;

ADULT; FEMALE; FRACTURES, STRESS; HUMANS; LOW BACK PAIN; MAGNETIC RESONANCE IMAGING; MALE; RUNNING; SACRUM; SPORTS;

EID: 78751657714     PISSN: 00016462     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (43)

1. Alsobrook J, Simons SM. Sacral stress fractures in a marathon runner. Cur Sports Med Rep 2007 ; 6 : 39-42. (Pubitemid 46254167)
2. Atwell EA, Jackson D. Stress fractures of the sacrum in runners. Am J Sports Med 1991 ; 19 : 531-533.
3. Batt ME, Skattum N, Chong BK, Tanji JL. Posterior element pain in an adolescent schoolgirl. Br J Sports Med 1996 ; 30 : 356-358.
4. Blake SP, Connors AM. Sacral insufficiency fractures. Br J Radiol 2004 ; 77 : 891-896.
5. Boissonnault WG, Thein-Nissenbaum JM. Differential diagnosis of a sacral stress fracture. J Orthop Sports Phys Ther 2002; 32: 613-621.
6. Bono CM. Low-back pain in athletes. J Bone Joint Surgery 2004 ; 86 : 382-396.
7. Bottomley M. Sacral stress fracture in a runner. Br J Sports Med 1990 ; 24 : 243-244.
8. Crockett HC, Wright JM, Madsen MW et al. Sacral stress fractures in an elite college basketball player after the use of a jumping machine. Am J Sports Med 1999 ; 27 : 526-528.
9. Czarnecki DJ, Till EW, Minikel JL. Unique sacral stress fracture in a runner [Letter]. Am J Roentgenol 1988 ; 151 : 1255.
10. Delvaux K, Lysens R. Lumbosacral pain in an athlete. Am J Phys Med Rehabil 2001 ; 80 : 388-391.
11. Denis F, Davis S, Comfort T. Sacral fractures : an important problem. Retrospectiv analysis of 236 cases. Clin Orthop Relat Res 1988 ; 227 : 67-81.
12. Dreisinger TE, Nelson B. Management of back pain in athletes. Sports Med 1996 ; 21 : 313-320.
13. Eller DJ, Katz D, Bergman AG, Fredericson M, Beaullieu CF. Sacral stress farctures in long-distance runners. Clin J Sport Med 1997 ; 7 : 222-225.
14. Featherstone T. Magnetic resonance imaging in the diagnosis of sacral stress fractures. Br J Sports Med 1999 ; 33 : 276-277. (Pubitemid 29373777)
15. Gerrard DF, Doyle T. Lumbosacral pain in an athlete. An unusual site for stress fracture. Clin J Sport Med 1988 ; 8 : 59-61.
16. Granhed H, Morelli B. Low back pain retired wrestlers and heavyweight lifters. Am J Sports Med 1988 ; 16 : 530533.
17. Grasland A. Sacral insufficiency fractures, an easily overlooked cause of back pain in elderly women. Arch Intern Med 1996 ; 156 : 668-674.
18. Grier D, Wardell S, Sarwark J, Poznanski AK. Fatigue fractures of the sacrum in children : Two case reports and a review of the literature. Skeletal Radiol 1993 ; 22 : 515518.
19. Haasbeek JF, Green N. Adolescent stress fracture of the sacrum : Two case reports. J Pediatr Orthop 1994 ; 14 : 336-338. (Pubitemid 24129829)
20. Halller J, Kindynis P, Resnick D, Murray WT, Cervilla V. Fatigue fracture of the sacrum : A case report. J Can Assoc Radiol 1989 ; 40 : 277-278.
21. Haun DW, Kettner NW, Yochum TR, Green RL. Sacral fatigue fracture in a female runner : a case report. Manipulative Physiol Ther 2007 ; 30 : 228-233.
22. Hickey GJ, Fricker PA, McDonald WA. Injuries to elit rowers over a 10-year period. Med Sei Sports Exer 1997 ; 29: 1567-1572.
23. Holtzhausen L, Noakes T. Stress fractures of the sacrum in two distance runners. Clin J Sports Med 1992 ; 2 : 139142.
24. Johnson AW, Weiss CB Jr, Stento K, Wheeler DL. Stress fracture of the sacrum. An atypical cause of low back pain in the female athlete. Am J Sports Med 2001 ; 29 :498-508.
25. Joy EA, Campbell D. Stress fractures in the female athlete. Curr Sports Med Rep 2005 ; 4 : 323-328.
26. Knobloch K, Schreibmueller L, Jagdzinski M, Zeichen J, Krettek C. Rapid rehabilitation programme following sacral stress fracture in a long distance running female athlete. Arch Orthop Trauma Surg 2007 ; 127 : 809813.
27. Lechevalier D, Magnin J, Eulry F. Truncated sciatica as the first manifestation of a fatique fracture of the sacrum in a young male. Rev Rhum Engl Ed 1996 ; 63 : 505.
28. Lin JT, Lane, JM. Sacral stress fractures. J Women Health 2003 ; 12 : 879-889.
29. Lin JT, Lutz GE. Postpartum sacral fracture presenting as lumbar radiculopathy. Arch Phys Med Rehabil 2004 : 85 : 1358-1361.
30. Major NM, Helms CA. Pelvic stress injuries : The relationship between osteitis pubis (symphysis pubis stress injury) and sacroiliac abnormalities in athletes. Skeletal Radiol 1997; 26:711-717.
31. Major NM, Helms CA. Sacral stress fractures in longdistance runners. Am J Roentgenol 2000 ; 174 : 727-729.
32. Mammone JF. MRI of occult sacral insufficiency fractures following radiotherapy. Skeletal Radiol 1995 ; 24 : 101104.
33. McFarland EG, Giangarra C. Sacral stress fractures in athletes. CWn Orthop Rel Res 1996 ; 329 : 240-243
34. Micheli LJ, Curtis C. Stress fractures in the spine and sacrum. Clin Sports Med 2006 ; 25 : 75-88
35. Miller C, Major N, Toth A. Pelvic stress injuries in the athlete. Sports Med 2003 ; 33 : 1003-1012.
36. Schils J, Hauzeur J. Stress fracture of the sacrum. Am J Sports Med 1992 ; 20 : 769-770.
37. Shah MK, Stewart GW. Sacral stress fractures. An unusual cause of low back pain in an athlete. Spine 2002 ; 27 : E104-108.
38. Silva RT, De Bortolli A, Laurino CFS, Aballa RJ, Cohen M. Sacral stress fracture : an unusual cause of low back pain in an amateur tennis player. Br J Sports Med 2005; 40: 460-461. (Pubitemid 43672405)
39. Slipman CW, Gilchrist RV, Isaac Z, Lenrow DA, Chou LH. Sacral stress fracture in a female field hockey player. Am J Phys Med Rehabil 2003 ; 82 : 893-896.
40. Videman T, Sarna S, Battie MC et al. The long-term effects of physical loading and exercise lifestyles on backrelated symptoms, disability, and spinal pathology among men. Spine 1995 ; 20 : 699-709.
41. Volpin G, Milgrom C, Goldsher D, Stein H. Stress fractures of the sacrum following strenuous activity. Clin Orthop Relat Res 1989 ; 243 : 184-188.
42. Weber m, Hasler P, Gerber H. Insufficiency fractures of the sacrum. Twenty cases and review of the literature. Spine 1993; 16:2507-2512.
43. Zaman FM, Frey ME, Slipman CW. Sacral stress fractures. Curr Sports Med Rep 2006 ; 5 : 37-43.