The Case of Elvan Abeylegesse
The conditioning coach of the Turkish national running team, Nikola Borić, asked me to take a look at the X-ray images of his athlete Elvan, who had hit her left knee two weeks earlier while stepping out of a car. Since then, she had visibly altered her running movement, and as a result, her performance had worsened. She increasingly complained of pain in her right leg and on the right side of her pelvis. The coach also wrote that he had the impression that during running, her left leg was lagging behind. They also sent me a photograph, and from her body posture it was clear that she was leaning to the right; her spine was excessively curved, her torso tight, which caused her to sway while running, likely leading to stress fractures—fatigue-induced microfractures—in her right leg. (The X-rays showed cracks on her right femur, which, according to a radiologist from Istanbul, were the result of running, and I myself saw how excessively she was straining her right leg—over a 42 km run, such micro-injuries are bound to occur.)