Fracture of the iliac crest apophysis: An unusual hip pointer

Butler, James E.; Eggert, A

doi:10.1177/036354657500300408

Cited by 15 publications

(1 citation statement)

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“…The anterior iliac crest is the site of attachment of the abdominal musculature, and avulsion injuries can occur at this level in the adolescent athlete with an unfused apophysis. [20][21][22][23] The iliac crest apophysis typically begins ossification by 15 years of age and closes by 18 years of age. The majority of iliac crest avulsions result from repetitive trauma associated with running or jumping but may also occur as the result of direct trauma to the iliac crest.…”

Section: Iliac Crest Apophysismentioning

confidence: 99%

Avulsion Injuries of the Pelvis

Sanders

Zlatkin

2008

Semin Musculoskelet Radiol

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Pelvic avulsion injuries occur in both the skeletally immature and adult patient populations. Avulsion injuries are most common in the adolescent age group and usually present as an avulsion of the unfused apophysis at the level of tendon attachment resulting from violent muscular contraction during an athletic endeavor. Acute apophyseal avulsion injuries are usually easily detected and adequately imaged with radiographs, but occasionally advanced imaging such as magnetic resonance imaging or computed tomography is required to detect and fully delineate the extent of injury. Chronic injuries can mimic a more aggressive lesion, but familiarity with the location of various tendon attachment sites on the osseous pelvis can help avoid this pitfall. Traumatic avulsion injuries can also occur in the skeletally mature pelvis; however, in the adult, the presence of a pelvic avulsion fracture in the absence of trauma should be considered a pathological lesion until proven otherwise. This article discusses the clinical and imaging findings of apophyseal avulsion injuries in the adolescent athlete, followed by a discussion of specific pelvis avulsion injuries that occur in the adult population.

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Section: Iliac Crest Apophysismentioning

confidence: 99%