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Sacral stress fracture: an unusual cause of low back pain in an amateur tennis player
  1. R T Silva1,
  2. A De Bortoli2,
  3. C F S Laurino3,
  4. R J Abdalla3,
  5. M Cohen3
  1. 1Center for Sports Medicine, Sao Paulo, Brazil
  2. 2UNIFESP-EPM, Sao Paulo
  3. 3CETE-UNIFESP-EPM, Sao Paulo
  1. Correspondence to:
 Dr Silva
 Center for Sports Medicine, Rua Carmelo Damato 40, Sao Paulo 04084-100, Brazil; rgtsilva{at}


Stress fractures are common in athletes, and their incidence in sport is estimated at 2–4%. A case is reported of a stress fracture of the sacrum in an amateur tennis player. The patient was treated with rest and physiotherapy, focusing on stretching programmes and analgesic treatments, followed by an educational programme of tennis training and muscle strengthening. This appears to be the first report of this pathology in a tennis player.

  • stress fracture
  • tennis
  • sacrum
  • back
  • magnetic resonance image

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  • Competing interests: none declared