Abstract

Pelvic stress fractures are rare, accounting for approximately 1,6% to 7,1% of all stress fractures, typically occurring in the pubic rami and sacrum. The case report given as an example presents a rare instance of a pelvic stress fracture located in the ischium, just above the ischial tuberosity. Pelvic stress fractures generally present as diffuse and atypical pain located in the hip, buttock or groin area in athletes, which
makes it difficult to differentiate them from other pelvis and hip sports injuries. Thus, diagnostic imaging, specifically magnetic resonance imaging (being the most specific) is needed. Although pelvic stress fractures are considered low-risk and, in most instances, heal with conservative treatment, the process of getting the elite athlete back to sports can be complex and requires cautious management to ensure full recovery. It is important for athletes to maintain cardiovascular fitness during rehabilitation with sport-specific crosstraining. The most promising for runners with pelvic stress injuries is antigravity treadmill training, allowing for appropriate bone loading and faster return to sport.