Case ReportsSymptomatic Ischial Stress Fractures in Elite Athletes Treated With Percutaneous Screws A Report of 2 CasesSchultz, Blake J. MD1,a; Mansour, Alfred MD1; Eastman, Jonathan A. MD1; Routt, Milton “Chip” MD1 Author Information 1Department of Orthopaedic Surgery, University of Texas McGovern Medical School, Houston, Texas aE-mail address for B.J. Schultz: [email protected] Investigation performed at University of Texas Health Science Center at Houston, Houston, TX Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/B997). JBJS Case Connector 12(4):e22.00481, October-December 2022. | DOI: 10.2106/JBJS.CC.22.00481 Buy Metrics Abstract Cases: Two high-level athletes with symptomatic gluteal pain with explosive movements that had failed nonoperative management were eventually diagnosed with ischial stress fractures. These were treated with percutaneous posterior column screws. Both patients healed their fractures and made full return to sport. Conclusion: Ischial stress fractures should be considered in the differential for athletes with persistent gluteal pain. Percutaneous fixation is a minimally invasive and effective method of treating symptomatic ischial stress fractures that have failed nonoperative treatment. Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated
