Treatment of Acute Bony Avulsion of Ischial Tuberosity With Cortical Screw Fixation

Abstract

Displaced bony avulsion of the hamstring origin is a rare condition that necessitates surgical treatment. This article describes the surgical treatment of acute apophyseal separation of the ischial tuberosity via open reduction and internal fixation with cortical screws.

Screw Apophysiodesis for Chronic Ischial Apophysitis Refractory to Apophyseal Drilling in a Teenage Athlete

“…To the best of our knowledge, this is the first reported case of using screw fixation and curettage to cause apophysiodesis as an effective treatment of chronic ischial apophysitis. Screw fixation is a recommended treatment of displaced bony avulsion of the ischial tuberosity 6,7 . In skeletally immature athletes with displaced avulsion fractures of the ischial tuberosity, studies have shown improved clinical outcomes with operative treatment using screws compared with conservative management, and failure to treat these fractures can result in subsequent problems, such as nonunion and chronic pain 8,9 .…”

Chronic Ischial Avulsion Fracture Excision With Primary Proximal Hamstring Repair: A Technique

“… 5 Surgical management for acute ischial avulsion fractures generally involves ORIF, with good reported outcomes. 5 , 6 , 7 , 8 , 9 …”

“…Surgical treatment for this problem is not well described and can include various techniques, most commonly ORIF. 5 , 6 , 7 , 8 , 9 In this surgical technique, we describe resection of a chronic ischial avulsion fracture nonunion with primary repair of the proximal hamstring tendons.…”