Postpartum pelvic stress fractures with subsequent forefoot overload injury: A case report.

Pamela Moukarzel, Lara Nahouli, Mustafa Abazied, Ghina Ghazeeri

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Article in Case reports in women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 authors.

Pamela MoukarzelDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh 1107 2020, Beirut, Lebanon.

Lara NahouliDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh 1107 2020, Beirut, Lebanon.

Mustafa AbaziedDivision of Orthopedic Surgery, Department of Surgery, Hammoud Hospital University Medical Center, Dr. Ghassan Hammoud Street, P.O. Box 652, Saida, Lebanon.

Ghina GhazeeriDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh 1107 2020, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pelvic stress fractures in the early postpartum period are rare and may occur even in women with normal bone mineral density. This report describes the case of a 39-year-old woman (gravida 2, para 2) who developed bilateral sacral stress fractures and a left pubic ramus fracture three weeks after elective repeat cesarean delivery of a macrosomic infant. Bone mineral density and trabecular bone score were normal. She was managed conservatively with gradual clinical improvement. During recovery, she developed right forefoot pain consistent with metatarsophalangeal capsulitis and probable Morton's neuroma, likely secondary to altered gait mechanics. Postpartum pelvic stress fractures should be considered in women presenting with severe pelvic or low back pain after delivery, even in the absence of osteoporosis. Conservative management leads to favorable outcomes, although altered biomechanics during recovery may predispose to secondary overuse injuries.

Indexed as

Bone mineral densityMetatarsophalangeal capsulitisMortons neuromaPostpartum pelvic painPubic ramus fractureSacral stress fracture

Identifiers

PMID42564902

DOI10.1016/j.crwh.2026.e00844

PMCPMC13445467

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