Sacral fatigue fracture as a cause of deep gluteal pain

Bibliographic review and presentation of a clinical case

Abstract

Deep Gluteal Pain Syndrome can be caused by a stress fracture of the sacrum.

Objective: To facilitate the diagnosis of Deep Gluteal Pain Syndrome exposing a clinical case and bibliographic review of fatigue fracture of the sacrum.

Methodology: Bibliographic search in PubMed on fatigue fracture of the sacrum in athletes and description of a clinical case of this.

Results:

The main predisposing factors for a stress fracture of the sacrum are disproportionate loads, low bone mineral density, biomechanical abnormalities, and a hard-running surface. These fractures are more common in long-distance runners. The diagnosis of choice is Nuclear Magnetic Resonance. Treatment consists of rest from the causative activity, supplementation with vitamin D and calcium, and magnetotherapy.

The symptoms, complementary examinations, and evolution of a duathlete with a fatigue fracture of the sacrum are described.