Avulsion fracture of the iliac crest in a child

Mortati, Rafael Borghi; Mortati, Lucas Borghi; Teixeira, Matheus Silva; Takano, Marcelo Itiro; Borger, Richard Armelin

doi:10.1016/j.rboe.2014.03.010

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…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

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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.

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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

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A rare case of avulsion fracture of the iliac crest apophysis in a young female athlete

Losco

Ceglia

Lazzarini

et al. 2019

Trauma Case Reports

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Avulsion fractures of the iliac crest in the adolescent are rare injuries poorly described in literature. The rarity of this injury along with the late ossification of the growth plate of the iliac crest can lead to misdiagnosis and improper treatment. In presence of high clinical suspicion and negative x-ray findings, second level imaging is advisable. Case reports and some case series report on successful outcome of both surgical and non-surgical treatment. We present the case of a fifteen year old female athlete who sustained an avulsion fracture of the iliac crest during a running race. The patient was treated conservatively and returned to previous sport activities after four months from injury. Mechanism of injury, diagnostic options and treatment opportunities are also described.

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Avulsion fracture of the iliac crest in a child

Cited by 2 publications

References 9 publications

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

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

A rare case of avulsion fracture of the iliac crest apophysis in a young female athlete

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