Basit kemik kisti nedenli anterior inferior iliak spine kırığı; Apofizyel patolojik kırık

Abstract

Anterior inferior iliak spine avulsiyon kırıkları nadir yaralanmalardandır ve genellikle adolesan çağda rectus femoris kasının ani kasılması sonucu gelişmektedir. Tedavi genellikle konservatiftir, fakat bazı olgularda cerrahi tedavi gerekebilmektedir. Bu yazımızda sağ anterior inferior iliak spine şüpheli patolojik kırığı nedeniyle merkezimize refere edilen 14 yaşındaki nadir olguyu paylaşmayı amaçladık. Olgumuzda avulsiyon kırığına neden olan sağ anterior inferior iliak spine lokalizasyonlu basit kemik kisti mevcuttu. Bu nadir benign kemik tümörü nedenli yaralanmanın tedavisi tartışıldı.

Keywords

• Anterior inferior iliak spine; avulsiyon kırığı; apofiz yaralanması; basit kemik kisti.

Apophyseal avulsion fracture of the anterior inferior iliac spine due to a simple bone cyst

Abstract

Apophyseal avulsion fractures of the anterior inferior iliac spine are rare; they are usually seen in adolescents as a result of sudden contraction of the rectus femoris muscle. Treatment is usually conservative, but surgical management may be necessary in certain circumstances. We present an unusual case of a 14-year-old male who was referred to our department for a suspicious pathological fracture of his right anterior inferior iliac spine; he was found to have an avulsion fracture of the anterior inferior iliac spine due to simple bone cyst. We discuss the treatment of this rare injury caused by a benign osseous tumour.

Keywords

• Avulsion fracture
• anterior inferior iliac spine
• apophyseal injury
• simple bone cyst

References

1. O’Connor PJ, Groves C. Trauma and Sports-related In- juries. In: Wilson DJ, editor. Paediatric musculoskeletal disease: with an emphasis on ultrasound. Berlin: Springer; 2005. p. 21.
2. Gomez JE. Bilateral anterior inferior iliac spine avulsion fractures. Med Sci Sports Exerc 1996;28:161–4.
3. Rajasekhar C, Kumar KS, Bhamra MS. Avulsion frac- tures of the anterior inferior iliac spine: the case for surgi- cal intervention. Int Orthop 2001;24:364–5.
4. Rossi F, Dragoni S. Acute avulsion fractures of the pel- vis in adolescent competitive athletes: prevalence, location and sports distribution of 203 cases collected. Skeletal Ra- diol 2001;30:127–31.
5. Saluan PM, Weiker GG. Avulsion of the anterior inferior iliac spine. Orthopedics 1997;20:558–9.
6. Metzmaker JN, Pappas AM. Avulsion fractures of the pel- vis. Am J Sports Med 1985;13:349–58.
7. Nanka O, Havránek P, Pesl T, Dutka J. Avulsion fracture of the pelvis: separation of the secondary ossification cen- ter in the superior margin of the acetabulum. Clin Anat 2003;16:458–60.
8. Abdelwahab IF, Hermann G, Norton KI, Kenan S, Lewis MM, Klein MJ. Simple bone cysts of the pelvis in ado- lescents. A report of four cases. J Bone Joint Surg Am 1991;73:1090–4.

9. Veselko M, Smrkolj V. Avulsion of the anterior-superior ili- ac spine in athletes: case reports. J Trauma 1994;36:444–6.
10. Tüzüner T, Ozturan KE, Karaca E, Ulgür M. Avulsion fracture of the anterior superior iliac spine in a volleyball player. [Article in Turkish] Acta Orthop Traumatol Turc 2003;37:340–3.
11. White KK, Williams SK, Mubarak SJ. Definition of two types of anterior superior iliac spine avulsion fractures. J Pediatr Orthop 2002;22:578–82.
12. Kosanović M, Brilej D, Komadina R, Buhanec B, Pilih IA, Vlaović M. Operative treatment of avulsion fractures of the anterior superior iliac spine according to the tension band principle. Arch Orthop Trauma Surg 2002;122:421–3.
13. Hammoud S, Weber K, McCarthy EF. Unicameral bone cysts of the pelvis: a study of 16 cases. Iowa Orthop J 2005;25:69–74.
14. Dhinsa BS, Jalgaonkar A, Mann B, Butt S, Pollock R. Avulsion fracture of the anterior superior iliac spine: misdiagnosis of a bone tumour. J Orthop Traumatol 2011;12:173–6.
15. Beisland C, Maehlumshagen PM. Avulsion fractures of the anterior superior iliac spine. Lex coincidentia- -again . [Article in Norwegian] Tidsskr Nor Laegeforen 1997;117:3366–7.
16. Buch KA, Campbell J. Acute onset meralgia paraesthetica after fracture of the anterior superior iliac spine. Injury 1993;24:569–70.
17. Cimerman M, Smrkolj V, Veselko M. Avulsion of the anterior superior iliac spine in two adolescent sisters: operative versus conservative treatment. Unfallchirurg 1995;98:530–1.