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An Isolated Iliac Wing Stress Fracture in a Male Marathon Runner: A Case Report. 2021

Norishige Iizawa, and Kentaro Sonoki, and Yoshinori Obara, and Tatsunori Kataoka, and Tokifumi Majima
Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.

A 49-year-old man, who had started jogging 3 months before his first participation in a marathon race, presented with acute pain and difficulty walking that began during the marathon race. Tumors and bone metabolism factors were ruled out by blood examination and various imaging findings. Isolated iliac wing fatigue fracture was diagnosed and treated with conservative therapy. This is the first English-literature report we know of an isolated iliac wing stress fracture in a male marathon runner without underlying disease. Our study highlights the importance of considering this rare fracture when diagnosing patients presenting with iliac pain.

UI MeSH Term Description Entries
D007085 Ilium The largest of three bones that make up each half of the pelvic girdle. Auricular Surface of Ilium,Iliac Crest,Iliac Crest Bone,Iliac Fossa,Bones, Iliac Crest,Crest Bone, Iliac,Crest Bones, Iliac,Crest, Iliac,Crests, Iliac,Fossa, Iliac,Iliac Crest Bones,Iliac Crests,Iliums
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000081642 Marathon Running A sporting event in which participants run a distance of approximately 26.2 miles in a race. Marathons,Ultramarathon Running,Marathon,Running, Marathon,Running, Ultramarathon
D012420 Running An activity in which the body is propelled by moving the legs rapidly. Running is performed at a moderate to rapid pace and should be differentiated from JOGGING, which is performed at a much slower pace. Runnings
D015775 Fractures, Stress Fractures due to the strain caused by repetitive exercise. They are thought to arise from a combination of MUSCLE FATIGUE and bone failure, and occur in situations where BONE REMODELING predominates over repair. The most common sites of stress fractures are the METATARSUS; FIBULA; TIBIA; and FEMORAL NECK. Fatigue Fractures,Fractures, Fatigue,Fractures, March,Stress Fractures,Bone Stress Reaction,Insufficiency Fractures,Micro Fractures,Microfractures,Stress Reaction, Bone,Bone Stress Reactions,Fatigue Fracture,Fracture, Fatigue,Fracture, Insufficiency,Fracture, March,Fracture, Micro,Fracture, Stress,Fractures, Micro,Insufficiency Fracture,March Fracture,March Fractures,Micro Fracture,Microfracture,Stress Fracture
D025981 Hip Injuries General or unspecified injuries involving the hip. Injuries, Hip

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