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Case report
Intertrochanteric hip stress fracture in a male ultramarathon runner
  1. Jeffrey P Nadwodny1,
  2. George Pujalte1,
  3. Tais Garcia de Oliveira Bertasi2 and
  4. Tamara Huff3
  1. 1Family Medicine, Mayo Clinic, Jacksonville, Florida, USA
  2. 2Department of Sports Medicine, Mayo Clinic Hospital Jacksonville, Jacksonville, Florida, USA
  3. 3Orthopaedic Surgery, Mayo Clinic, Jacksonville, Florida, USA
  1. Correspondence to Dr Tais Garcia de Oliveira Bertasi; taisg12{at}me.com

Abstract

Stress fractures are injuries frequently seen in high-performance athletes, especially runners. In the femur, the most commonly affected locations are the femoral neck, condylar area and proximal shaft. Intertrochanteric fractures are much more common in the elderly population, especially among those with osteoporosis, but they can also be a result of high-energy repetitive mechanisms. We present a case of an intertrochanteric stress fracture in a young male runner. The diagnosis was suspected after persistent pain following his first marathon, and it was confirmed with an MRI. Operative fixation of the fracture was performed 22 days after the pain started, which allowed the patient to return to his activities, including 50 km marathon 4 months following the surgery.

  • sports and exercise medicine
  • groin pain
  • physiotherapy (sports medicine)
  • orthopaedics
  • pain

https://doi.org/10.1136/bcr-2020-239594

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    Footnotes

    • Contributors JPN contributed to the acquisition of data for the work, drafting of the work and its revision, approved the final version to be published and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. GP contributed to the conception of the work, the drafting of the work and its revision, approved the final version to be published and agree to be accountable for all aspects of the work ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. TGdOB contributed to the acquisition of data for the work, drafting of the work and its revision, approved the final version to be published and agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. TH contributed to the conception of the work, the drafting of the work and its revision, approved the final version to be published and agree to be accountable for all aspects of the work ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.