{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T08:10:48Z","timestamp":1782375048648,"version":"3.54.5"},"reference-count":9,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T00:00:00Z","timestamp":1557100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p>A sacral pedicle stress fracture is an uncommon source of low back pain in adolescent athletes. Given the extensive differential diagnosis of low back pain coupled with the fact that nondirected specific imaging can be normal, diagnosis can be delayed. We report the case of a 15\u2010year\u2010old African American male, dual\u2010sport athlete who experienced low back pain from a sacral pedicle stress fracture. This case highlights the importance of a thorough history and physical examination in tandem with appropriate testing to identify predisposing factors to ultimately arrive at a diagnosis. A comprehensive, conservative treatment approach is described.<\/jats:p>","DOI":"10.1002\/pmrj.12119","type":"journal-article","created":{"date-parts":[[2019,2,7]],"date-time":"2019-02-07T02:20:12Z","timestamp":1549506012000},"page":"657-660","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Sacral Pedicle Stress Fracture in an Adolescent Competitive Basketball and Track and Field Athlete with a Prior Femoral Physeal Injury: A Case Report"],"prefix":"10.1002","volume":"11","author":[{"given":"Andrew","family":"Creighton","sequence":"first","affiliation":[{"name":"Division, Physical Medicine &amp; Rehabilitation, Department of Neurology Washington University School of Medicine  St. Louis MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Holtzman","sequence":"additional","affiliation":[{"name":"Program in Physical Therapy Washington University School of Medicine  St. Louis MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Ziegler","sequence":"additional","affiliation":[{"name":"Division, Physical Medicine &amp; Rehabilitation, Department of Orthopedic Surgery Washington University School of Medicine  St. Louis MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Prather","sequence":"additional","affiliation":[{"name":"Division, Physical Medicine &amp; Rehabilitation, Departments of Neurology and Orthopedic Surgery Washington University School of Medicine  St. Louis MO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,6]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-017-2686-y"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514562739"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.3131"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2002.32.12.613"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2007.01.007"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290030901"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.060607"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517736277"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e3182913cbe"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12119","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.12119","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12119","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T10:20:36Z","timestamp":1694341236000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.12119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,6]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1002\/pmrj.12119"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.12119","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,6]]},"assertion":[{"value":"2018-05-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-19","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}