Stress Fractures of the Hip and Pelvis

Clin Sports Med. 2021 Apr;40(2):363-374. doi: 10.1016/j.csm.2020.11.007. Epub 2021 Jan 19.


Stress fractures refer to overuse injuries of bone resulting from repetitive mechanical stress. Stress fractures of the hip and pelvic region, while relatively uncommon, have become increasingly recognized in certain populations, particularly long-distance runners and military recruits. The diagnosis of such injuries can be challenging, often hampered by a nonspecific physical examination and limited sensitivity of plain radiography. Early recognition is important to direct appropriate management, lessen time lost from sport, and avoid potential complications. The present article reviews the epidemiology, diagnosis, and management of bone stress injuries of the hip and pelvis, specifically the sacrum, pubic ramus, and femoral neck.

Keywords: Bone stress injury; Femoral neck; Hip; Pelvis; Pubic ramus; Sacrum; Stress fracture.

Publication types

  • Review

MeSH terms

  • Adult
  • Fractures, Bone
  • Fractures, Stress / diagnosis*
  • Hip Fractures / diagnosis*
  • Humans
  • Pelvis / injuries*
  • Pubic Bone / injuries
  • Radiography