CHICAGO — A New w York

City sports medicine specia-
list says female runners over
30 may develop pelvic stress
fractures more often than
men but doctors are unsure
why.

“Although our sample is
small, this phenomenon
hasn’t been reported before
in the medical literature,”
said Dr. Dennis Sullivan. “It
certainly needs further
study.”

Sullivan’s remarks were
for delivery at the 69th
annual Clinical Congress of

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t

the American “College of
Surgeons.

Sullivan and colleagues at
the Hospital for Special
Surgery, affiliated with the
New York Hospital-Cornell
University Medical Center,
studied 51 competitive and
recreational runners who
developed stress fractures
during a five-year period.

Of six runners with pelvic
stress fractures, all were
more than 30 years old and

five of the six were women.
“I'd hope that a physician

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who is confronted with a
female patient complaining
of pain in the hip area would
find out if she is a runner to
rule out the possibility of a
stress fracture,” Sullivan
said.

Most of the stress frac-
tures in the study were found
in the runners’ lower leg

bones, as well as in the bones"

in the middle of their feet.
The runners sought medical
attention because of pain
and swelling.

Primary treatment was to
advise the patients to stop

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running and rest, usually for
about six to seven weeks...
The most likely time for a
stress fracture to occur is
when the runner changes his
or her routine, sports
medicine specialists say.

Most patients in Sullivan's
study had recently begun
training more rigorously,
wearing new shoes or
running on a different sur-
face.

No particular running
shoe was associated with

injury.

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