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Risk factors associated with sacral stress fractures: A systematic review

Publication ,  Journal Article
Yoder, K; Bartsokas, J; Averell, K; McBride, E; Long, C; Cook, C
Published in: Journal of Manual and Manipulative Therapy
May 1, 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.

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Published In

Journal of Manual and Manipulative Therapy

DOI

EISSN

2042-6186

ISSN

1066-9817

Publication Date

May 1, 2015

Volume

23

Issue

2

Start / End Page

84 / 92

Related Subject Headings

  • Orthopedics
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
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Yoder, K., Bartsokas, J., Averell, K., McBride, E., Long, C., & Cook, C. (2015). Risk factors associated with sacral stress fractures: A systematic review. Journal of Manual and Manipulative Therapy, 23(2), 84–92. https://doi.org/10.1179/2042618613Y.0000000055
Yoder, K., J. Bartsokas, K. Averell, E. McBride, C. Long, and C. Cook. “Risk factors associated with sacral stress fractures: A systematic review.” Journal of Manual and Manipulative Therapy 23, no. 2 (May 1, 2015): 84–92. https://doi.org/10.1179/2042618613Y.0000000055.
Yoder K, Bartsokas J, Averell K, McBride E, Long C, Cook C. Risk factors associated with sacral stress fractures: A systematic review. Journal of Manual and Manipulative Therapy. 2015 May 1;23(2):84–92.
Yoder, K., et al. “Risk factors associated with sacral stress fractures: A systematic review.” Journal of Manual and Manipulative Therapy, vol. 23, no. 2, May 2015, pp. 84–92. Scopus, doi:10.1179/2042618613Y.0000000055.
Yoder K, Bartsokas J, Averell K, McBride E, Long C, Cook C. Risk factors associated with sacral stress fractures: A systematic review. Journal of Manual and Manipulative Therapy. 2015 May 1;23(2):84–92.

Published In

Journal of Manual and Manipulative Therapy

DOI

EISSN

2042-6186

ISSN

1066-9817

Publication Date

May 1, 2015

Volume

23

Issue

2

Start / End Page

84 / 92

Related Subject Headings

  • Orthopedics
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences