GENÇ ERİŞKİN (ADÖLESAN) FUTBOLCULARDAKİ SPİNA İLİAKA ANTERİOR İNFERİOR AVÜLSİYON KIRIKLARININ KONSERVATİF TEDAVİSİ (İKİ OLGU SUNUMU)

Year 2011, Volume: 12 Issue: 1, 49 - 51, 01.04.2011

Murat Bülbül Semih Ayanoğlu Yunus İmren Hakan Gürbüz

Abstract

Spina İliaka Anterior İnferior (SİAİ) avülsiyon kırıkları pelvik kemiklerin çok sık görülmeyenyaralanmalarındandır. Genelde futbolcularda şut çekme esnasında tanımlanmıştır. Olgularımızın ikisi de amatörfutbol onayan sporculardı. Her iki olguda futbol maçı esnasında şut çektikten sonra başlayan kalça ağrısınedeniyle polikliniğimize başvurdular. Her iki olgudada SİAİ avülsiyon kırığı saptandı. Yük vermeden yürümeve steroid olmayan antiinflamatuar ilaçlar ile dört hafta istirahat ettirildiler. Dört haftanın sonucunda yapılanfizik muayenelerinde pasif kalça hareket açıklıkları tam ve ağrısız olarak değerlendirildi. Altıncı haftanınsonunda yapılan fizik muayenelerinde aktif ve ağrısız olarak tam eklem hareket açıklığına ulaşılmıştı.Çalışmamızda futbolcularda daha çok rastlanabilecek SİAİ avülsiyon kırıklarının koservatif tedavi sonuçlarınınyeterli olduğu sonucuna vardık

Keywords

Spina iliaca anterior inferior, avulsiyon, kırık, futbolcu

Adolescent in Conservative Treatment of Avulsion Fracture of Inferior Anterior Iliac Spine (Two Cases Report)

Abstract

Avulsion fractures of spina iliaca anterior inferior (SIAI) are among the infrequent injuries of pelvic bones, which are usually described during shooting in football players. Both of our cases were amateur football players, presented to our clinic with pelvic pain which began just after shooting during a football game. Both cases were detected to have SIAI avulsion fractures. They were offered rest for 4 weeks with non-weight bearing plus non-steroidal anti-inflammatory drugs. At the end of four weeks, physical examination revealed complete and painless passive range of motion of hip. Upon further physical examination at the end of sixth weeks, active, painless and complete range of motion were achieved. In our study, we concluded that results of conservative treatment were satisfactory in avulsion fractures of SIAI that may commonly be encountered in football players.

Keywords

Spina iliaca anterior inferior, avulsion, fracture, football player

References

• 1. Orava S, Ala-Ketola L. Avulsion fractures in athletes. Br J Sports Med 1977;11(2):65-71.
• 2. Yildiz C, Aydin T, Yildiz Y, Kalyon TA, Basbozkurt M. Anterior inferior iliac spine apophyseal avulsion fracture. J South OrthopAssoc 2003;12(1): 38-40.
• 3. Yildiz C, Yildiz Y, Ozdemir MT, Green D, Aydin T. Sequential avulsion of the anterior inferior iliac spine in an adolescent long jumper. Br J Sports Med 2005;39(7):e31.
• 4. Atalar H, Kayaoğlu E, Yavuz OY, Selek H, Uraş I. Avulsion fracture of the anterior inferior iliac spine. Ulus TravmaAcil Cerrahi Derg 2007;13(4):322-5.
• 5. Gomez JE. Bilateral anterior inferior iliac spine avulsion fractures. Med Sci Sports Exerc 1996;28(2):161-4.
• 6. Rajasekhar C, Kumar KS, Bhamra MS. Avulsion fractures of the anterior inferior iliac spine: the case for surgical intervention. Int Orthop 2001;24(6):364-5.
• 7. Doral MN, Aydog ST, Tetik O, Atay OA, Turhan E, Demirel HA. Multiple osteochondroses and avulsion fracture of anterior superior iliac spine in a soccer player. Br J Sports Med 2005;39(3):e16.
• 8. Fried T, Lloyd GJ. An overview of common soccer injuries. Management and prevention. Sports Med 1992;14(4):269-75.
• 9. Rossi F, Dragoni S. Acute avulsion fractures of the pelvis in adolescent competitive athletes: prevalence, location and sports distribution of 203 cases collected. Skeletal Radiol 2001;30(3):127-31.
• 10. Knobloch K, Krämer R, Sommer K, Gänsslen A, Vogt PM.Avulsion injuries of the anterior inferior iliac spine among soccer players-a differential diagnosis to neoplasm decades following the trauma. Sportverletz Sportschaden. 2007;21(3):152-6.
• 11. Irwing MH. Exostosis formation after traumatic avulsion of the anterior inferior iliac spine .Report of two cases.J Bone Joint Surg Br 1964 Nov;46:720-2.
• 12. Resnick JM, Carrasco CH, Edeiken J, Yasko AW, Ro JY, Ayala AG. Avulsion fracture of the anterior inferior iliac spine with abundant reactive ossification in the soft tissue. Skeletal Radiol 1996;25(6):580-4.
• 13. Meyer NJ, Schwab JP, Orton D. Traumatic unilateral avulsion of the anterior superior and inferior iliac spine with anterior dislocation of the hip: A case report. J Orthop Trauma 2001;15(2):137-40.
• 14. Metzmaker JN, Pappas AM. Avulsion fractures of the pelvis.Am J Sports Med 1985;13:349-58.
• 15. Sundar M, Carty H. Avulsion fractures of the pelvis in children: a report of 32 fractures and their outcome. Skeletal Radiol 1994;23:85-90.
• 16. Veselko M, Smrkolj V. Avulsion of the anteriorsuperior iliac spine in athletes: case reports. J Trauma 1994;36:444-6.