Ön-Alt İliak Çıkıntının Alışılmadık Şekildeki Kopma Kırığı: Nadir Bir Olgu

Abstract

Apofizyal spina iliaka anterior inferior kırıkları nadir yaralanmalardır. Bu yaralanmalar en çok adölesan dönemdeki sporcularda meydana gelir. Pelvisin ossifikasyonu tamamlanmadığından apofizler bu dönemde muskulotendinöz birimin en zayıf parçalarıdır, bu nedenle avülsiyon kırıkları kas rüptürlerinden daha sık görülür. Kırık rektus femoris kasının düz başının çekmesi sonucu oluşur. Hastalar kasık bölgesinde şiddetli bir ağrı hissederler ve yürüyemezler. Yatak istirahati, analjezi, koltuk değneği kullanımı ile başlanarak parmak ucunda yürüme ve tolere edilebildiği ölçüde tam yük vererek yürümeye kadar uzanan konservatif tedavi yöntemleri ile iyi sonuçlar elde edilebilmektedir. Bizim olgumuzda 17 yaşındaki erkek hastada nadir görülen bir yolla oluşmuş spina iliaka anterior inferior kırığını sunmayı amaçladık.

Keywords

• Kemik kırıkları; ergen; iliak kemik

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Abstract

Apophyseal anterior inferior iliac spine fractures are rare injuries. They most commonly occur in athletes in adolescenceperiod. Because the ossification of pelvis is not completed, apophyses are the weakest part of musculotendinous unitduring this period, thus avulsion fractures are more frequent than muscle ruptures. The fracture occurs as a result of thepull of the straight head of the rectus femoris muscle. Patients feel a severe pain localized in groin, and cannot bearweight. With conservative treatment including bed rest, analgesia, using crutches and toe-touch weight bearing,progressing to full weight bearing as tolerated, satisfactory results could be obtained. We present a 17-year old boy withanterior inferior iliac spine fracture occurred in an uncommon manner.

Keywords

• Bone fractures; adolescent; ilium.

References

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