Simultaneous bilateral avulsion fracture of the anterior–superior iliac spine in a teenager: a case report with a literature review

Yin, Hao; Zhang, Huang; Pan, Zhengjun

doi:10.1097/bpb.0000000000000391

Cited by 2 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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

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

show abstract

“…It has been reported that 86% of patients with anterior fractures successfully respond to conservative treatment ( 24 ). However, the conservative treatment is not risk-free, the most frequent complications are exostosis formation, non-union and persistent pain ( 31 ). Occasionally, an anterior fracture requires additional surgical treatment when a patient's intractable pain fails to respond to conservative treatment or in the presence of large displacement of fracture ends that are not expected to heal spontaneously ( 32 ), as the case reported in our patient.…”

Section: Discussionmentioning

confidence: 99%

Avulsion fracture of the anterior superior iliac crest following autograft for anterior lumbar fusion: case report and literature review

Ge,

Dong,

et al. 2024

Front. Surg.

View full text Add to dashboard Cite

Avulsion fracture of the anterior superior iliac crest (ASIC) following autogenous bone grafting for anterior lumbar fusion (ALF) is an extremely rare complication. We describe a very rare case of avulsion fracture of the ASIC following autograft for ALF in a revision surgery for treating lumbar tuberculosis. A 68-year-old woman with lumbar tuberculosis underwent posterior debridement and posterior iliac crest bone graft fusion; however, her lumbar tuberculosis recurred 9 months after surgery. She then underwent a lumbar revision surgery, including removal of the posterior instrumentation and debridement, followed by anterior L2 corpectomy, debridement, anterior left iliac crest bone graft fusion, and internal fixation. When walking for the first time on postoperative day 3, she experienced a sharp, sudden-onset pain in the anterior iliac crest harvest area. X-ray revealed an avulsion fracture of the ASIC. Considering her failure to respond to conservative treatment for one week and large displacement of the fracture ends, an open reduction and internal fixation surgery was scheduled. Her pain symptoms were significantly relieved after the operation. Although rare, fracture of the ASIC following autograft for ALF should not be ignored. Fracture of the ASIC is usually treated conservatively. Additional surgical treatment is required only when intractable pain fails to respond to conservative treatment or when there is a large displacement of fracture ends that are not expected to heal spontaneously.

show abstract

Simultaneous bilateral avulsion fracture of the anterior–superior iliac spine in a teenager: a case report with a literature review

Cited by 2 publications

References 6 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

Avulsion fracture of the anterior superior iliac crest following autograft for anterior lumbar fusion: case report and literature review

Contact Info

Product

Resources

About