Journal List > Korean J Sports Med > v.32(2) > 1054523

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

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.

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Fig. 1.
Radiograph on the pelvic. Showing stress fracture of the both superior pubic ramus (arrows).
kjsm-32-144f1.tif
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.
kjsm-32-144f2.tif
Table 1.
Peak torque values (Nm) of hip muscle strength after exercise therapy
Muscles Test velocity Pre Post 2 mo Percentage
Right Left Right Left Right Left
Hip extension 30°/s 119 124 150 169 21 27
90°/s 98 95 102 100 4 5
Hip flexion 30°/s 83 92 110 113 25 19
90°/s 72 80 88 90 19 12
Hip adduction 30°/s 71 87 92 95 23 9
90°/s 71 82 90 93 22 12
Hip abduction 30°/s 85 81 100 102 15 21
90°/s 84 76 98 100 15 24
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