Running on Empty
Author: Michael Kelleher, MD
Editor: Will Denq, MD, CAQ-SM
Final Editor: Alex Tomesch, MD, CAQ-SM
A 20-year-old female presents to the ED for evaluation of hip pain that has been progressively worsening over the last month. She has been feeling sharp pain in both hips for the last 4 months during daily runs, which have been consistently 8-10 miles. She is now reporting constant pain in her bilateral hips even at rest for the past 2 weeks. Denies any falls or trauma.
Image 1. Case courtesy of Dr. Kelleher and Dr. Beach, University of Arizona Sports Medicine.
References
[1] Dutton, R.A., Stress Fractures of the Hip and Pelvis. Clin Sports Med, 2021. 40(2): p. 363-374.
[2] Lee, S.W. and C.H. Lee, Fatigue stress fractures of the pubic ramus in the army: imaging features with radiographic, scintigraphic and MR imaging findings. Korean J Radiol, 2005. 6(1): p. 47-51.
[3] Miller, C., N. Major, and A. Toth, Pelvic stress injuries in the athlete: management and prevention. Sports medicine (Auckland, N.Z.), 2003. 33: p. 1003-12.
[4] Spitz, D.J. and A.H. Newberg, Imaging of stress fractures in the athlete. Radiol Clin North Am, 2002. 40(2): p. 313-31.
[5] Bishop, M.E., et al., Bone stress injuries in female athletes. Annals of Joint, 2020.