Only one American finished in the top 10, Nicholas Arciniaga taking 10th place. The last American to win the Boston Marathon was Greg Myer in 1983.
No elite U.S. women runners entered this year because the race came a day after the nation's top women competed in Boston for three spots on the U.S. Olympic team.
Deena Kastor, who won bronze at the 2004 Athens Games, won the U.S. Olympic women's trials on Sunday, securing her spot at the Beijing Olympics.