Anterior Inferior Iliac Spine Avulsion Fracture

Aksoy, Erdal; Uludağ, Murat; Ozbayrak, Mustafa; Kaynak, Gökhan; Tüzün, Şansın

doi:10.1097/phm.0000000000000102

Cited by 6 publications

(11 citation statements)

References 1 publication

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ninety-one athletes sustained a RF injury with an AIIS avulsion fracture in twenty three studies included in this systematic review [ 42 , 46 , 47 , 49 , 50 , 52 – 57 , 64 – 67 , 71 , 73 – 76 , 80 , 81 ].…”

Section: Resultsmentioning

confidence: 99%

“…Mechanism of injury: Over 90% of the avulsions (n = 83/91) were sustained during kicking [ 46 , 47 , 49 , 50 , 52 , 53 , 55 , 64 – 67 , 71 , 73 , 75 , 76 , 80 ] and the remainder occurred during sprinting [ 42 , 54 , 56 , 57 , 74 , 75 , 81 ]. The majority of these injuries (95%) occurred in adolescent males (n = 87).…”

Section: Resultsmentioning

confidence: 99%

“…The majority of these injuries (95%) occurred in adolescent males (n = 87). In 61% (n = 56/91) of the athletes the specific sport was not outlined, [ 71 ] and where reported most RF injuries were sustained during kicking in soccer players (29%, n = 26) [ 46 , 47 , 49 , 50 , 52 , 53 , 55 , 64 – 67 , 73 , 75 , 76 , 80 ].…”

Section: Resultsmentioning

confidence: 99%

“…Diagnostic modality: RF avulsion injuries in nine studies were diagnosed on plain X-rays only (n = 69) [ 49 , 55 – 57 , 65 , 71 , 73 , 74 , 76 , 80 , 81 ]. In three studies computed tomography (CT scan) was used for further evaluation (n = 7), [ 53 , 66 , 67 ] while MRI was the investigation modality of choice for athletes in the remaining studies (n = 15) [ 42 , 46 , 47 , 50 , 52 , 54 , 64 , 75 ].…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Management of proximal rectus femoris injuries – do we know what we’re doing?: A systematic review

Bogwasi¹,

Holtzhausen²,

Rensburg³

et al. 2023

View full text Add to dashboard Cite

Rectus femoris (RF) injury is a concern in sports. The management RF strains/tears and avulsion injuries need to be clearly outlined. A systematic review of literature on current management strategies for RF injuries, and to ascertain the efficacy thereof by the return to sport (RTS) time and re-injury rates. Literature search using Medline via PubMed, WorldCat, EMBASE, SPORTDiscus. Eligible studies were reviewed. Thirty-eight studies involving hundred and fifty-two participants were included. Majority (n = 138; 91%) were males, 80% (n = 121) sustained RF injury from kicking and 20% (n = 31) during sprinting. The myotendinous (MT), (n = 27); free tendon (FT), (n = 34), and anterior-inferior iliac spine (AIIS), (n = 91) were involved. Treatment was conservative (n = 115) or surgical (n = 37) across the subgroups. 73% (n = 27) of surgical treatments followed failed conservative treatment. The mean RTS was shorter with successful conservative treatment (MT: 1, FT: 4, AIIS avulsion: 2.9 months). Surgical RTS ranged from 2–9 months and 18 months with labral involvement. With either group, there was no re-injury within 24 months follow-up. With low certainty of evidence RF injury occurs mostly from kicking, resulting in a tear or avulsion at the FT and AIIS regions with or without a labral tear. With low certainty, findings suggest that successful conservative treatment provides a shortened RTS. Surgical treatment remains an option for failed conservative treatment of RF injuries across all subgroups. High-level studies are recommended to improve the evidence base for the treatment of this significant injury.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Management of proximal rectus femoris injuries – do we know what we’re doing?: A systematic review

Bogwasi¹,

Holtzhausen²,

Rensburg³

et al. 2023

View full text Add to dashboard Cite

show abstract

“…1). Following application of the inclusion and exclusion criteria, a total of 70 studies [2,5,12–79] (all levels IV–V) comprising 279 athletes with 286 apophyseal injuries were included. The weighted mean age of included athletes was 14.5 + 1.3 years (range, 8–18 years).…”

Section: Resultsmentioning

confidence: 99%

Apophyseal ilium avulsion fractures in young athletes: a systematic review and return to sport analysis

Vadhera

Lee

Sivasundaram

et al. 2022

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

The purpose of the current investigation was to synthesize the epidemiology, cause, management, and return to sport (RTS) outcomes of ilium avulsion fractures sustained during sporting activities in young athletes. Studies reporting on athletes <18 years old sustaining an avulsion fracture along the ilium [injury to the anterior superior or inferior iliac spine (ASIS or AIIS), or the iliac crest (IC)], and the athlete's RTS status were included. RTS was analyzed by injury acuity, location, mechanism of injury, and management, whereas complications were recorded. Seventy studies comprising 286 avulsions (169 ASIS, 87 AIIS, and 30 IC) were included. The mean age of athletes was 14.5 + 1.3 years (range, 8-18 years). Sprinting (n = 103/286; 36.0%) and soccer (n = 97/286; 33.9%) were the most common sports during which injuries occurred. A total of 96.5% (n = 276/286) of athletes reported successful RTS at an average of 16.2 + 19.3 weeks. The RTS rate for patients sustaining ASIS, AIIS, and IC avulsions was 95.3, 97.7, and 100%, respectively. Acute trauma was responsible for 89.8% (n = 158/176) of injuries, which demonstrated a significantly faster (13.3 + 9.3 weeks) and higher RTS rate (99.4%) compared with those with chronic avulsions (74.4 + 40.9 weeks and 83.3%, respectively). Those with complications (18.2%) had a significantly lower RTS rate (90.4%) and longer recovery (23.7 weeks) compared with athletes without complications (97.9% and 14.5 weeks, respectively). Outcomes were not significantly different based on sex or management. However, chronic avulsions and postoperative complications sustained worse RTS results. An accurate and timely diagnosis is crucial when presented with these rare injuries to avoid increasing the chronicity of injury.

show abstract

Reevaluation of the surgical indications for anterior inferior iliac spine avulsion fractures in an acute setting – A narrative review of the current literature

Reboli

Aprato

Vittori

et al. 2023

Journal of Orthopaedics

View full text Add to dashboard Cite

Anterior Inferior Iliac Spine Avulsion Fracture

Cited by 6 publications

References 1 publication

Management of proximal rectus femoris injuries – do we know what we’re doing?: A systematic review

Management of proximal rectus femoris injuries – do we know what we’re doing?: A systematic review

Apophyseal ilium avulsion fractures in young athletes: a systematic review and return to sport analysis

Reevaluation of the surgical indications for anterior inferior iliac spine avulsion fractures in an acute setting – A narrative review of the current literature

Contact Info

Product

Resources

About