{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:55:05Z","timestamp":1760864105604,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,21]]},"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Stress fractures are injuries frequently seen in high-performance athletes, especially runners. In the femur, the most commonly affected locations are the femoral neck, condylar area and proximal shaft. Intertrochanteric fractures are much more common in the elderly population, especially among those with osteoporosis, but they can also be a result of high-energy repetitive mechanisms. We present a case of an intertrochanteric stress fracture in a young male runner. The diagnosis was suspected after persistent pain following his first marathon, and it was confirmed with an MRI. Operative fixation of the fracture was performed 22 days after the pain started, which allowed the patient to return to his activities, including 50 km marathon 4 months following the surgery.<\/jats:p>","DOI":"10.1136\/bcr-2020-239594","type":"journal-article","created":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T11:20:16Z","timestamp":1642072816000},"page":"e239594","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Intertrochanteric hip stress fracture in a male ultramarathon runner"],"prefix":"10.1136","volume":"15","author":[{"given":"Jeffrey P","family":"Nadwodny","sequence":"first","affiliation":[{"name":"Family Medicine, Mayo Clinic, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7537-7457","authenticated-orcid":false,"given":"George","family":"Pujalte","sequence":"additional","affiliation":[{"name":"Family Medicine, Mayo Clinic, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0827-4941","authenticated-orcid":false,"given":"Tais Garcia de Oliveira","family":"Bertasi","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Mayo Clinic Hospital Jacksonville, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Huff","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, Mayo Clinic, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,1,13]]},"reference":[{"key":"2025082704003282000_15.1.e239594.1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-016-1390-5"},{"key":"2025082704003282000_15.1.e239594.2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-52.8.01"},{"key":"2025082704003282000_15.1.e239594.3","doi-asserted-by":"publisher","DOI":"10.1177\/036354658701500107"},{"key":"2025082704003282000_15.1.e239594.4","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1148\/rg.2015140301","article-title":"Proximal femoral fractures: what the orthopedic surgeon wants to know","volume":"35","author":"Sheehan","year":"2015","journal-title":"Radiographics"},{"key":"2025082704003282000_15.1.e239594.5","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B10.16666"},{"key":"2025082704003282000_15.1.e239594.6","doi-asserted-by":"crossref","first-page":"60","DOI":"10.5371\/hp.2016.28.1.60","article-title":"Trochanteric stress fracture in a female window cleaner","volume":"28","author":"Lee","year":"2016","journal-title":"Hip Pelvis"},{"key":"2025082704003282000_15.1.e239594.7","unstructured":"Attum B , Pilson H . 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