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Anterior inferior iliac spine avulsion fracture: a series of 5 cases.

Serbest S, Tosun HB, Tiftikçi U, Oktas B, Kesgin E - Medicine (Baltimore) (2015)

Bottom Line: At follow-up, all patients showed relief from their pain and mechanical symptoms and regained full range of motion and returned to their previous levels of activity.Diagnosis requires careful attention to the physical examination and imaging.Good results and return to previous levels of activity can be achieved with conservative treatment.

View Article: PubMed Central - PubMed

Affiliation: From the Faculty of Medicine (SS, UT, Birhan OKTAS), Department of Orthopaedics and Traumatology, Kırıkkale University, Kırıkkale; Faculty of Medicine (HBT), Department of Orthopaedics and Traumatology, Adıyaman University, Adıyaman; and Department of Orthopaedics and Traumatology (EK), Anamed Private Hospital, Mersin, Turkey.

ABSTRACT
Avulsion fractures of the pelvic apophyses rarely occur in adolescent athletes in the course of sudden strong contraction of muscle attached to growth cartilage. This injury may usually be misdiagnosed for tendon or muscle strain. Patient's history, physical examination, and radiologic studies are important for diagnosis. The literature includes only a few case reports but no case series as yet. The aim of this study was to present the results of 5 cases of anterior inferior iliac spine (AIIS) avulsion fractures treated conservatively. The study included 5 patients (4 male, 1 female, mean age 13.6 years) who underwent conservative treatment for AIIS avulsion fractures and had an adequate follow-up. All patients were admitted to the emergency department and misdiagnosed as muscle strain. Three of them were football player, 1 skier, and 1 fighter. Each patient was treated with immobilization and nonsteroidal anti-inflammatory drugs. At follow-up, all patients showed relief from their pain and mechanical symptoms and regained full range of motion and returned to their previous levels of activity. Diagnosis requires careful attention to the physical examination and imaging. In this series, all pelvic avulsion fractures (100%) were managed successfully with a conservative approach. Good results and return to previous levels of activity can be achieved with conservative treatment.

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Related in: MedlinePlus

Pelvis anteroposterior x-ray shows a right anterior inferior iliac spine avulsion fracture in case 1.
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Figure 1: Pelvis anteroposterior x-ray shows a right anterior inferior iliac spine avulsion fracture in case 1.

Mentions: Case 1: Our first patient was a 14-year-old girl. She was injured during back fall while skiing. Mechanism of injury in the skier was uncontrolled hip/thigh motion that occurs when there is hyperextension of the hip joint and the flexion of the knee, as in the action of skiing. Her complaint was sudden-onset groin pain with disability to walk. She was immediately admitted to the emergency room. Only nonsteroidal anti-inflammatory drug was given which was ineffective for pain release. She has admitted to the orthopedic department after a while (Figures 1 and 2).


Anterior inferior iliac spine avulsion fracture: a series of 5 cases.

Serbest S, Tosun HB, Tiftikçi U, Oktas B, Kesgin E - Medicine (Baltimore) (2015)

Pelvis anteroposterior x-ray shows a right anterior inferior iliac spine avulsion fracture in case 1.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4554161&req=5

Figure 1: Pelvis anteroposterior x-ray shows a right anterior inferior iliac spine avulsion fracture in case 1.
Mentions: Case 1: Our first patient was a 14-year-old girl. She was injured during back fall while skiing. Mechanism of injury in the skier was uncontrolled hip/thigh motion that occurs when there is hyperextension of the hip joint and the flexion of the knee, as in the action of skiing. Her complaint was sudden-onset groin pain with disability to walk. She was immediately admitted to the emergency room. Only nonsteroidal anti-inflammatory drug was given which was ineffective for pain release. She has admitted to the orthopedic department after a while (Figures 1 and 2).

Bottom Line: At follow-up, all patients showed relief from their pain and mechanical symptoms and regained full range of motion and returned to their previous levels of activity.Diagnosis requires careful attention to the physical examination and imaging.Good results and return to previous levels of activity can be achieved with conservative treatment.

View Article: PubMed Central - PubMed

Affiliation: From the Faculty of Medicine (SS, UT, Birhan OKTAS), Department of Orthopaedics and Traumatology, Kırıkkale University, Kırıkkale; Faculty of Medicine (HBT), Department of Orthopaedics and Traumatology, Adıyaman University, Adıyaman; and Department of Orthopaedics and Traumatology (EK), Anamed Private Hospital, Mersin, Turkey.

ABSTRACT
Avulsion fractures of the pelvic apophyses rarely occur in adolescent athletes in the course of sudden strong contraction of muscle attached to growth cartilage. This injury may usually be misdiagnosed for tendon or muscle strain. Patient's history, physical examination, and radiologic studies are important for diagnosis. The literature includes only a few case reports but no case series as yet. The aim of this study was to present the results of 5 cases of anterior inferior iliac spine (AIIS) avulsion fractures treated conservatively. The study included 5 patients (4 male, 1 female, mean age 13.6 years) who underwent conservative treatment for AIIS avulsion fractures and had an adequate follow-up. All patients were admitted to the emergency department and misdiagnosed as muscle strain. Three of them were football player, 1 skier, and 1 fighter. Each patient was treated with immobilization and nonsteroidal anti-inflammatory drugs. At follow-up, all patients showed relief from their pain and mechanical symptoms and regained full range of motion and returned to their previous levels of activity. Diagnosis requires careful attention to the physical examination and imaging. In this series, all pelvic avulsion fractures (100%) were managed successfully with a conservative approach. Good results and return to previous levels of activity can be achieved with conservative treatment.

Show MeSH
Related in: MedlinePlus