Korean J Sports Med.  2014 Dec;32(2):144-147. 10.5763/kjsm.2014.32.2.144.

The Clinical Outcomes of Exercise Therapy for a Soccer Player with Stress Fracture of Superior Pubic Ramus

Affiliations
  • 1Division of Sports Medicine, Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. yongon79@naver.com

Abstract

Stress fractures are common injuries that begin with repetitive and excessive stress on the bone. It is very rare that stress fracture was occurred in pubis superior ramus in athletics, and the report concerning the exercise therapy for this fracture was not sufficient in the literature. We report of a case of a 17-year-old male soccer player who suffered from left inguinal pain due to the stress fracture of pubis superior ramus. He was conducted an exercise program that consisted of muscle strength, stretching, aerobic and functional exercise for 2 months. After this intervention, all muscle strength was significantly improved (17%) compared to baseline data, and also flexibility and range of motion were improved. This case shows that exercise therapy considered the cause and cyclic formation of bone remodeling is benefit to improve the exercise performance for a soccer player with superior ramus stress fracture.

Keyword

Pubis bone fracture; Exercise therapy; Soccer

MeSH Terms

Adolescent
Bone Remodeling
Exercise Therapy*
Fractures, Stress*
Humans
Male
Muscle Strength
Pliability
Range of Motion, Articular
Soccer*
Sports

Figure

  • Fig. 1. Radiograph on the pelvic. Showing stress fracture of the both superior pubic ramus (arrows).

  • Fig. 2. The whole body images of the technetium99m bone scan. Increased radioactivity uptake showed at both superior pubis ramus. Especially, the left side appeared more clearly.


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