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Avulsion fracture of the anterior inferior iliac spine in an uncommon way: A rare case

Year 2012, Volume: 3 Issue: 2, 267 - 269, 01.06.2012
https://doi.org/10.5799/ahinjs.01.2012.02.0157

Abstract

Apophyseal anterior inferior iliac spine fractures are rare injuries. They most commonly occur in athletes in adolescence period. Because the ossification of pelvis is not completed, apophyses are the weakest part of musculotendinous unit during this period, thus avulsion fractures are more frequent than muscle ruptures. The fracture occurs as a result of the pull of the straight head of the rectus femoris muscle. Patients feel a severe pain localized in groin, and cannot bear weight. 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 14-year old boy with anterior inferior iliac spine fracture occurred in an uncommon manner. J Clin Exp Invest 2012; 3(2): 267-269

References

  • Atalar H, Kayaoglu E, Yavuz OY, Selek H, Uras I. Avul- sion fracture of the anterior inferior iliac spine. Ulusal Travma ve Acil Cerrahi Dergisi 2007;13(4):322-5.
  • Pointinger H, Munk P, Poeschl GP. Avulsion fracture of the anterior superior iliac spine following apophysitis. British journal of sports medicine. 2003;37(4):361-2.
  • Soyuncu Y, Gur S. [Avulsion injuries of the pelvis in adolescents]. Acta Orthopaedica Et Traumatologica Turcica 2004;38 Suppl 1:88-92.
  • Reina N, Accadbled F, de Gauzy JS. Anterior inferior iliac spine avulsion fracture: a case report in soccer playing adolescent twins. J Pediatric Orthopaedics Part B 2010;19(2):158-60.
  • Rajasekhar C, Kumar KS, Bhamra MS. Avulsion frac- tures of the anterior inferior iliac spine: the case for sur- gical intervention. Int Orthopaedics 2001;24(6):364-5.
  • White KK, Williams SK, Mubarak SJ. Definition of two types of anterior superior iliac spine avulsion frac- tures. J Pediatric Orthopaedics 2002;22(5):578-82.
  • Yildiz C, Yildiz Y, Ozdemir MT, Green D, Aydin T. Se- quential avulsion of the anterior inferior iliac spine in an adolescent long jumper. Brit J Sport Med 2005;39(7):e31.
  • Milankov MZ, Harhaji V, Gojkovic Z, Drapsin M. Hetero- topic ossification following surgical treatment of avul- sion fracture of the anterior inferior iliac spine. Medi- cinski Pregled 2011;64(11-12):593-6.

Avulsion fracture of the anterior inferior iliac spine in an uncommon way: A rare case

Year 2012, Volume: 3 Issue: 2, 267 - 269, 01.06.2012
https://doi.org/10.5799/ahinjs.01.2012.02.0157

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 avülzyon 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. Yazımızda 14 yaşındaki erkek hastada nadir görülen bir yolla oluşmuş spina iliaka anterior inferior kırığını sunmayı amaçladık.

References

  • Atalar H, Kayaoglu E, Yavuz OY, Selek H, Uras I. Avul- sion fracture of the anterior inferior iliac spine. Ulusal Travma ve Acil Cerrahi Dergisi 2007;13(4):322-5.
  • Pointinger H, Munk P, Poeschl GP. Avulsion fracture of the anterior superior iliac spine following apophysitis. British journal of sports medicine. 2003;37(4):361-2.
  • Soyuncu Y, Gur S. [Avulsion injuries of the pelvis in adolescents]. Acta Orthopaedica Et Traumatologica Turcica 2004;38 Suppl 1:88-92.
  • Reina N, Accadbled F, de Gauzy JS. Anterior inferior iliac spine avulsion fracture: a case report in soccer playing adolescent twins. J Pediatric Orthopaedics Part B 2010;19(2):158-60.
  • Rajasekhar C, Kumar KS, Bhamra MS. Avulsion frac- tures of the anterior inferior iliac spine: the case for sur- gical intervention. Int Orthopaedics 2001;24(6):364-5.
  • White KK, Williams SK, Mubarak SJ. Definition of two types of anterior superior iliac spine avulsion frac- tures. J Pediatric Orthopaedics 2002;22(5):578-82.
  • Yildiz C, Yildiz Y, Ozdemir MT, Green D, Aydin T. Se- quential avulsion of the anterior inferior iliac spine in an adolescent long jumper. Brit J Sport Med 2005;39(7):e31.
  • Milankov MZ, Harhaji V, Gojkovic Z, Drapsin M. Hetero- topic ossification following surgical treatment of avul- sion fracture of the anterior inferior iliac spine. Medi- cinski Pregled 2011;64(11-12):593-6.
There are 8 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Burak Kaymaz This is me

Mehmet Eroğlu This is me

Publication Date June 1, 2012
Published in Issue Year 2012 Volume: 3 Issue: 2

Cite

APA Kaymaz, B., & Eroğlu, M. (2012). Avulsion fracture of the anterior inferior iliac spine in an uncommon way: A rare case. Journal of Clinical and Experimental Investigations, 3(2), 267-269. https://doi.org/10.5799/ahinjs.01.2012.02.0157
AMA Kaymaz B, Eroğlu M. Avulsion fracture of the anterior inferior iliac spine in an uncommon way: A rare case. J Clin Exp Invest. June 2012;3(2):267-269. doi:10.5799/ahinjs.01.2012.02.0157
Chicago Kaymaz, Burak, and Mehmet Eroğlu. “Avulsion Fracture of the Anterior Inferior Iliac Spine in an Uncommon Way: A Rare Case”. Journal of Clinical and Experimental Investigations 3, no. 2 (June 2012): 267-69. https://doi.org/10.5799/ahinjs.01.2012.02.0157.
EndNote Kaymaz B, Eroğlu M (June 1, 2012) Avulsion fracture of the anterior inferior iliac spine in an uncommon way: A rare case. Journal of Clinical and Experimental Investigations 3 2 267–269.
IEEE B. Kaymaz and M. Eroğlu, “Avulsion fracture of the anterior inferior iliac spine in an uncommon way: A rare case”, J Clin Exp Invest, vol. 3, no. 2, pp. 267–269, 2012, doi: 10.5799/ahinjs.01.2012.02.0157.
ISNAD Kaymaz, Burak - Eroğlu, Mehmet. “Avulsion Fracture of the Anterior Inferior Iliac Spine in an Uncommon Way: A Rare Case”. Journal of Clinical and Experimental Investigations 3/2 (June 2012), 267-269. https://doi.org/10.5799/ahinjs.01.2012.02.0157.
JAMA Kaymaz B, Eroğlu M. Avulsion fracture of the anterior inferior iliac spine in an uncommon way: A rare case. J Clin Exp Invest. 2012;3:267–269.
MLA Kaymaz, Burak and Mehmet Eroğlu. “Avulsion Fracture of the Anterior Inferior Iliac Spine in an Uncommon Way: A Rare Case”. Journal of Clinical and Experimental Investigations, vol. 3, no. 2, 2012, pp. 267-9, doi:10.5799/ahinjs.01.2012.02.0157.
Vancouver Kaymaz B, Eroğlu M. Avulsion fracture of the anterior inferior iliac spine in an uncommon way: A rare case. J Clin Exp Invest. 2012;3(2):267-9.