Abstract This case presents a 42-year-old non-osteoporotic white female runner with an intertrochanteric stress fracture in the right hip which progressed to a displaced intertrochanteric fracture during a low-impact weighted hip exercise and required surgical intervention. X-rays revealed several previously untreated stress fractures throughout her lower body which had healed without intervention. This is an unusual case because nontraumatic stress fractures in the hip are quite rare in younger and non-osteoporotic patients. Additionally, the previous fractures in her lower body indicate that her injury was not acute, but part of a deeper, chronic issue. This study investigates and briefly discusses several inconspicuous factors present in this patient that could have contributed to this issue, including: Coeliac disease and other food intolerances, malnutrition, subclinical hypothyroidism, overexercise, and iron-deficiency anaemia. Herein are also identified and suggested relevant, potent areas for the consideration of further research.
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Gray et al. (2024) studied this question.
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