PDF(Pubmed)
Abstract：
Sacral stress fractures (SSFs) in physically active young patients are frequently misdiagnosed due to the lack of specificity of signs and symptoms. Over the last years, these injuries have been described as rare, although some studies report that the incidence of an SSF in athletes may be as high as 20%.We describe a case of a male long-distance runner in his late 20s with a 1-month undiagnosed SSF. The patient complaints included insidious right low back and buttock pain without trauma that started after running a marathon. MRI revealed an extensive area of bone marrow oedema in the right sacral ala consistent with an SSF.This case highlights the importance of investigating SSF in young-athlete patients who were otherwise healthy, using appropriate imaging modalities to assess the presence and morphology of a fracture.
摘要：
由于缺乏体征和症状的特异性，运动活跃的年轻患者的骶骨应力性骨折（SSF）经常被误诊。在过去的几年里，这些伤害被描述为罕见的，尽管一些研究报告说运动员中SSF的发生率可能高达20%。我们描述了一例20多岁的男性长跑运动员，患有1个月未诊断的SSF。患者的抱怨包括在跑马拉松后开始的阴险的右下背部和臀部疼痛，没有外伤。MRI显示右侧骶骨ala中广泛的骨髓水肿区域与SSF一致。这个案例强调了在其他健康的年轻运动员患者中调查SSF的重要性，使用适当的成像方式来评估骨折的存在和形态。
