Risk factors associated with sacral stress fractures: A systematic review


Journal Article

© W. S. Maney & Son Ltd 2015. Objectives: The objective of this study was to examine and identify risk factors associated with the development of sacral stress fractures in order to improve diagnosis in clinical practice. Methods: Electronic search strategies in PubMed, CINAHL, Scopus, and SPORTDiscus were combined with a hand search to identify articles for inclusion. Studies were considered if they described patient cases in which imaging confirmed diagnosis of a sacral stress fracture, and the diagnosis included whether the fracture was a sacral insufficiency or sacral fatigue stress fracture. Results: In those that developed sacral insufficiency fractures, the risk factors that were most prevalent included osteoporosis, pelvic radiation therapy, rheumatoid arthritis, long-term corticosteroid therapy, and postmenopausal, each with a prevalence of 100%. Risk factors with 100% prevalence in those diagnosed with sacral fatigue fractures included recent increase in training intensity and deficient diet. Discussion: A pattern of signs and symptoms are consistent among subjects with sacral stress fractures. Patients being unsuccessfully treated for low-back and buttock pain who fit the risk factor profiles for sacral stress fractures should be referred to a physician for further diagnostic workup.

Full Text

Duke Authors

Cited Authors

  • Yoder, K; Bartsokas, J; Averell, K; McBride, E; Long, C; Cook, C

Published Date

  • January 1, 2015

Published In

Volume / Issue

  • 23 / 2

Start / End Page

  • 84 - 92

Electronic International Standard Serial Number (EISSN)

  • 2042-6186

International Standard Serial Number (ISSN)

  • 1066-9817

Digital Object Identifier (DOI)

  • 10.1179/2042618613Y.0000000055

Citation Source

  • Scopus