Pelvic Fractures in Professional Cyclists: A Report of 3 Cases

BACKGROUND: Professional riders demonstrate increased risk factors for such injuries including both extensive time on the bike in addition to a possible underlying osteopenia secondary to the nonimpact nature of the sport. HYPOTHESIS: Nonoperative management of stable, nondisplaced pelvic fractures in professional cyclists offers excellent results. STUDY DESIGN: Case series. METHODS: Three cases of professional cyclists with pelvic fractures were reviewed. RESULTS: All 3 cyclists were able to return to professional competition and remain symptom free. CONCLUSION: Accurate early diagnosis of pelvic fractures, with the aid of computed tomography, is crucial. Early nonweightbearing with a progression to weightbearing as tolerated and early return to stationary training are appropriate. Accurate diagnosis and careful nonoperative management of stable, nondisplaced pelvic fractures in professional cyclists offers excellent results. CLINICAL RELEVANCE: Accurate diagnosis of pelvic fractures in high-demand athletes with few complaints and no obvious findings on plain film radiographs. Control of weightbearing and competitive status to prevent injury progression. Gauged return to competition at professional level.