Avulsion fractures of the pelvis

Metzmaker, Jeffrey N.; Pappas, Arthur M.

doi:10.1177/036354658501300510

Cited by 229 publications

(140 citation statements)

References 12 publications

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“…Severed fracture would generally be in the shape of a crescent or triangle. Avulsed part of the fracture would generally be displaced to inferior minimally (2). The most common complications in patients with conservative therapy are exocytosis, non-union, and resistant pain.…”

Section: Discussionmentioning

confidence: 99%

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Rarely Observed Sports Injuries: Two Case Reports

Uzun¹,

Kızkapan²,

Bülbül³

2016

JAEMCR

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Introduction: Avulsion fractures of the anterior inferior iliac spine (AIIS), anterior superior iliac spine (ASIS), tuberositas ischii, iliac apophysis, and reflected head of rectus occur in children because of apophyseal cartilage failure. In this report, we present two cases of avulsion fractures of the AIIS and tuberositas ischii. Case Report: Two amateur football players who are 15 and 16 years old presented to an emergency clinic with groin pain after kicking the ball during a football match. Their passive hip motions were normal, whereas active hip motions were painful and right groins were painful during deep palpation. Radiological examinations revealed avulsion fracture of AIIS in one patient and avulsion fracture of the tuber ischium in the other patient. We started analgesic treatment in both patients with them lying in the supine position with the hip in 45 degree flexion. Patients were mobilized after 2 weeks with elbow crutches. Four weeks later, we started active hip motions. Conclusion: Avulsion fractures of the ASIS and tuber ischiadicum are rare cases in adolescent sportsmen. These injuries can easily be overlooked or misdiagnosed. A delay in diagnosis may cause hip pain and lower the performance of sportsmen. IntroductionThere are many studies about avulsion fractures of the pelvic ring that occur on the apophysis of the anterior inferior iliac spina (AIIS), anterior superior iliac spina (ASIS), tuber ischiadicum, iliac crest, and symphysis pubis. Avulsion injuries, including those to the pelvic ring, often can be seen in adolescent sportsmen, whereas they are less frequently reported in adults and patients with cerebral palsy (1,2). Apophysis avulsion fractures in young sportsmen occur because of over-muscle contractions in muscle-bone connections (3). ASIS and AIIS avulsion fractures are frequently seen in sportsmen (4). We aimed to report the conservative therapy results of two patients with avulsion fractures of the AIIS and tuber ischiadicum.

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Section: Discussionmentioning

confidence: 99%

“…Avulsion injuries, including those to the pelvic ring, often can be seen in adolescent sportsmen, whereas they are less frequently reported in adults and patients with cerebral palsy (1,2). Apophysis avulsion fractures in young sportsmen occur because of over-muscle contractions in muscle-bone connections (3).…”

Section: Introductionmentioning

confidence: 99%

Rarely Observed Sports Injuries: Two Case Reports

Uzun¹,

Kızkapan²,

Bülbül³

2016

JAEMCR

View full text Add to dashboard Cite

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“…They are often mistaken for muscle or tendon injuries [6]. ASIS avulsion fracture accounts for only 1.4% of injuries to the pelvis [7] and may result from forceful contraction of the sartorius and tensor fascia lata muscles [8].…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal Sonography Facilitates the Diagnosis of Adolescent Anterior Superior Iliac Spine Avulsion Fracture

Chen

Yeh

2010

Journal of Medical Ultrasound

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KEY WORDSanterior superior iliac spine, avulsion fracture, sonography Anterior superior iliac spine (ASIS) avulsion fractures are not common. We describe a 15-yearold boy who suffered from sudden onset of pain on the left side of his groin when running a race, accompanied by weakness in raising his left leg. Physical examination revealed local tenderness over left ASIS area, initial pelvic radiograph showed no abnormalities, but kidney-ureter-bladder radiograph revealed a small indistinct radiopaque shadow lateral to iliac bone. Then, musculoskeletal sonography disclosed the displacement of the apophysis from the left ASIS, and avulsion fracture was impressed. Pelvic computed tomography confirmed the diagnosis. The patient gradually recovered after conservative treatment. Groin pain in athletes is a dilemma in diagnosis, and careful correlation of the clinical condition and radiological findings is essential to avoid misdiagnosis. Musculoskeletal ultrasound is a useful tool for quick screening and to facilitate diagnosis. ª

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“…Indeed many authors [2][3][4][5] believe that early surgical excision or fixation of the avulsed fragment is not indicated, regardless of the amount of displacement, and it should only be considered if disability persists after a full conservative regimen has been carried out.…”

Section: Discussionmentioning

confidence: 99%

Displaced avulsion of the ischial apophysis: a hamstring injury requiring internal fixation.

Servant

Jones²

1998

Br J Sports Med

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A case is reported of an adolescent sprinter who was chronically disabled by pain after non-operative management for an acute hamstring injury. He had sustained an avulsion fracture of the ischial apophysis with displacement of 2.5 cm. Avulsion fractures of the ischial apophysis with displacement of 2 cm or more are unusual, but they frequently result in a symptomatic non-union, and early diagnosis, open reduction, and internal fixation is to be encouraged. (Br J Sports Med 1998;32:255-257)

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Avulsion fractures of the pelvis

Cited by 229 publications

References 12 publications

Rarely Observed Sports Injuries: Two Case Reports

Rarely Observed Sports Injuries: Two Case Reports

Musculoskeletal Sonography Facilitates the Diagnosis of Adolescent Anterior Superior Iliac Spine Avulsion Fracture

Displaced avulsion of the ischial apophysis: a hamstring injury requiring internal fixation.

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