Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 19500
  Title Sacral fatigue fracture in a female runner: a case report [case report]
Journal J Manipulative Physiol Ther. 2007 Mar-Apr;30(3):228-233
Peer Review Yes
Publication Type Case Report
Abstract/Notes 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.
First author: D.W. Haun

This abstract is reproduced with the permission of the publisher. Click on the above link for the PubMed record.

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