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Sports Health. 2014 Mar;6(2):122-7. doi: 10.1177/1941738114523381.

The running athlete: stress fractures, osteitis pubis, and snapping hips.

Author information

1
Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan.

Abstract

CONTEXT:

Pelvic stress fractures, osteitis pubis, and snapping hip syndrome account for a portion of the overuse injuries that can occur in the running athlete.

EVIDENCE ACQUISITION:

PUBMED SEARCHES WERE PERFORMED FOR EACH ENTITY USING THE FOLLOWING KEYWORDS: snapping hip syndrome, coxa sultans, pelvic stress fracture, and osteitis pubis from 2008 to 2013. Topic reviews, case reports, case series, and randomized trials were included for review.

STUDY DESIGN:

Clinical review.

LEVEL OF EVIDENCE:

Level 4.

RESULTS:

Collectively, 188 articles were identified. Of these, 58 were included in this review.

CONCLUSION:

Based on the available evidence, the majority of these overuse injuries can be managed non-operatively. Primary treatment should include removal from offending activity, normalizing regional muscle strength/length imbalances and nutritional deficiencies, and mitigating training errors through proper education of the athlete and training staff.

STRENGTH OF RECOMMENDATION TAXONOMY:

C.

KEYWORDS:

coxa sultans; osteitis pubis; snapping hip; stress fracture

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