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Case report: bilateral ischial stress fractures in an elite tennis player

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Abstract

A case report of bilateral ischial stress fractures in an elite tennis player initially mimicking hamstring pathology is described. This is an unusual site of stress fracture. Typical sites of stress fracture are well documented; however, awareness of less common sites of stress-related bone injury can aid early diagnosis and treatment before overt fracture occurs.

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References

  1. Datir AP, Saini A, Connell A, Saifuddin A. Stress related bone injury with emphasis on MRI. Clin Radiol 2007; 62: 828–836.

    Article  CAS  Google Scholar 

  2. Lassus J, Tulikoura I, Konttinen YT, Salo J, Santavirta S. Bone stress injuries of the lower extremity. A review. Acta Orthop Scand 2002; 73(3): 359–368.

    Article  Google Scholar 

  3. Bennell KL, Brukner PD. Epidemiology and site specificity of stress fractures. Clin Sports Med 1997; 16: 179–196.

    Article  CAS  Google Scholar 

  4. Bennell KL, Malcolm SA. The incidence and distribution of stress fractures in competitive track and field athletes. A twelve-month prospective study. Am J Sports Med 1996; 24: 211–217.

    Article  CAS  Google Scholar 

  5. Miller C, Major, Toth A. Pelvic stress injuries in the athlete. Management and prevention. Sports Med 2003; 33(13): 1003–1012.

    Article  Google Scholar 

  6. Mowat AG, Kay VJ. Case report: ischial stress fracture. Br J Sports Med 1983; 17(2): 94–95.

    Article  CAS  Google Scholar 

  7. Maquirriain J, Ghisi JP. The incidence and distribution of stress fractures in elite tennis players. Br J Sports Med 2006; 40: 454–459.

    Article  CAS  Google Scholar 

  8. Lee JC, Malara FA, Wood T, Hoy G, Saifuddin A, Connell DA. MRI of stress reaction of the distal humerus in elite tennis players. Am J Roentgenol 2006; 187: 901–904.

    Article  Google Scholar 

  9. Kiuru MJ, Pihlajamaki HK, Ahovuo JA. Fatigue stress injuries of the pelvic bones and proximal femur: evaluation with MR imaging. Eur Radiol 2003; 13: 605–611.

    PubMed  Google Scholar 

  10. Fredricson M, Berman AG, Hoffman KL, et al. Tibial stress reaction in runners:correlation of clinical symptoms and scintigraphy with a new magnetic resonance imaging grading system. Am J Sports Med 1995; 23: 472–481.

    Article  Google Scholar 

  11. Kornaat PR, de Jonge MC, Maas M. Bone marrow edema-like signal in the athlete. Eur J Radiol 2008; 67: 49–53.

    Article  Google Scholar 

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Correspondence to A. W. Clarke.

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Clarke, A.W., Connell, D.A. Case report: bilateral ischial stress fractures in an elite tennis player. Skeletal Radiol 38, 711–714 (2009). https://doi.org/10.1007/s00256-009-0687-9

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  • DOI: https://doi.org/10.1007/s00256-009-0687-9

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