Pubic ramus stress fracture in a 25-year-old male professional marathon runner managed at a tertiary hospital in Addis Ababa, Ethiopia

Abstract

Bone stress fractures are uncommon in the general population, but they are relatively common in athletic settings. Pelvic stress fractures constitute approximately 4% of all bone stress fractures. Athletes are particularly at risk for developing these types of fractures. Stress fractures of the pubic rami typically manifest as severe, progressively worsening pain in the groin area. A high index of suspicion and comprehensive clinical examination are essential for accurate diagnosis. Advanced imaging modalities, such as magnetic resonance imaging, offer high sensitivity and can corroborate clinical findings. This report presents a case of a misdiagnosed pubic ramus stress fracture in an athlete. We also review the relevant literature and discuss diagnostic approaches and treatment recommendations for such patients.