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Pelvic stress fracture — MSRA MCQ

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HardHip and GroinPelvic stress fractureMSRA

A 19-year-old endurance runner has buttock pain that worsens with running and sitting. Hop testing is painful and there is focal tenderness over the pubic ramus and inferior pelvis. What is the most appropriate investigation?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — MRI pelvis for suspected bone stress injury

Pelvic and pubic ramus stress injuries can present with buttock or groin pain and focal bony tenderness. MRI is sensitive for early bone stress injury and helps grade severity. Early diagnosis guides load restriction and risk-factor assessment.

Reference: BJSM bone stress injury guidance