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Medial iliac stress fractures in athletes: report of two rare cases: review of literature and clinical recommendations

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Abstract

Stress fractures are a common diagnosis in sports medicine and can result in significant loss of function, athlete playing time, and potentially lead to chronic symptoms. However, unusual locations of stress fractures may present with vague symptoms and a relatively benign physical exam, leading to difficulty in arriving at the correct diagnosis. Pelvic stress fractures are less common than lower-extremity stress fractures in athletes, occurring in only 1–5% of all stress fractures and typically occur in pubic rami. Furthermore, iliac bone stress fractures are even rarer, with only a few case reports in the literature. Their presentation can easily be missed on routine workup and imaging. We present two cases of the very rare superomedial iliac bone stress fracture in athletes, an unusual location for this uncommon stress fracture. We review the available literature on this condition and provide clinical commentary on workup and treatment recommendations.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, University of California San Diego, 9300 Campus Point Drive, #7894, La Jolla, CA, 92037, USA

    Kenneth Vitale

  2. Department of Radiology, University of California San Diego, San Diego, CA, USA

    Edward Smitaman & Brady K. Huang

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  1. Kenneth Vitale
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  2. Edward Smitaman
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  3. Brady K. Huang
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Correspondence to Kenneth Vitale.

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Vitale, K., Smitaman, E. & Huang, B.K. Medial iliac stress fractures in athletes: report of two rare cases: review of literature and clinical recommendations. Skeletal Radiol 48, 1119–1123 (2019). https://doi.org/10.1007/s00256-018-3117-z

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  • DOI: https://doi.org/10.1007/s00256-018-3117-z

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