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Article Excerpt
A completed stress fracture rarely occurs in a runner competing in a marathon. However, such a fracture is a significant medical event that physicians who care for athletes should be aware of, especially when it occurs in long-distance runners who report pain in a weight-bearing bone. The risk of injury is high when athletes continue to perform a stressing activity in spite of experiencing pain, and many athletes have a high tolerance for pain and may not seek medical care. Proper diagnosis and treatment are critical to a successful outcome.
In this article, we present a case report of a woman with a completed hip fracture that she sustained while running in a marathon. Our goal is to emphasize the importance of early evaluation and management of exercise-related hip pain as well as proper exercise progression.
Materials and methods
We conducted a thorough search of the MEDLINE database for similar cases using the following search terms: femoral neck fracture/runner, stress fracture/runner, hip fracture/runner, hip stress fracture/ runner, and Ritalin/bone density. No previous cases of a completed stress fracture occurring during a marathon competition were reported. The search revealed only general articles about stress fractures and 1 article about a completed fracture of the femoral neck in a long-distance runner with a diagnosis made 6 weeks after participation in a marathon. (1)
Case history
A 23-year-old woman trained for her first marathon in 2005 by following the Hal Higdon Marathon Training Guide (novice runner program). Five weeks into the 16-week training program, she experienced left foot pain; the clinical diagnosis was possible stress fracture.
The woman was treated with 3 weeks of relative rest. During this period, she cross-trained using an...
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