Case Report

Bilateral iliac stress fracture in a young male military cadet: report of an unusual case

Christos Apergis¹, Georgios Bekas¹, Christos Zafeiris², Terpsithea Koureta³, Konstantinos Raptis³

1. 2^nd Department of Οrthopedic Surgery, “Asklepieion” General Hospital, Athens, Greece
2. Laboratory for Research of Musculoskeletal System “Theodoros Garofalidis”, University of Athens, KAT Hospital, Athens, Greece
3. Department of Οrthopedic Surgery, 251 Hellenic Air Force General Hospital, Athens, Greece

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Keywords: Bilateral fractures, Iliac fractures, Stress fractures, Fractures in military population

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Abstract

Stress fractures are common in highly active people, such as athletes or the military population and occur more frequently in the tibia and especially the tarsal and metatarsal bones. Concomitant bilateral presentation is rare and especially bilateral iliac bone stress fracture has never been reported in the current English literature. We present a case of a young Air Force cadet with acute onset of bilateral hip pain, while participating in the routine military training program. Clinical examination, radiologic evaluation and MRI established the diagnosis of bilateral iliac bone stress fracture. The patient followed conservative treatment with partial weight bearing using crutches and the symptoms disappeared after a 3 month period.

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