Öz
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.
Anahtar Kelimeler
Kaynakça
- 1- Rossi F, Dragoni S. Acute avulsion fractures of the pelvis in adolescent competitive athletes: prevalence, location Avulsion fracture of the anterior inferior iliac spine and sports distribution of 203 cases collected. Skeletal Radiol. 2001; 30:127-31. 2- Kujala UM, Orava S. Ischial apophysis injuries in athletes. Sports Med. 1993; 16:290-4. 3- Akova B, Okay E. Avulsion of the ischial tuberosity in a young soccer player: six years follow-up: J Sports Science Medicine. 2002; 1:27-30. 4- Yildiz C, Aydin T, Yildiz Y, Kalyon TA, Basbozkurt M. Anterior inferior iliac spine apophyseal avulsion fracture. J South Orthop Assoc. 2003; 12:38-40. 5- Orava S, Ala-Ketola L. Avulsion fractures in athletes. Br J Sports Med. 1977; 11:65-71. 6- Pennig D, Gladbach B, Majchrowski W. Disruption of the pelvic ring during spontaneous childbirth. A case report. J Bone Joint Surg [Br]. 1997; 79:438-40. 7- Canale ST, King RE. Pelvic and hip fractures. In: Rockwood CA, Wilkins KE, King RE, editors. Fractures in children. Vo l. 3, 3rd ed. Philadelphia: J. B. Lippincott; 1991. p. 991-1120. 8- Nanka O, Havránek P, Pesl T, Dutka J. Avulsion fracture of the pelvis: separation of the secondary ossification center in the superior margin of the acetabulum. Clin Anat. 2003; 16:458-60. 9- White KK, Williams SK, Mubarak SJ. Definition of two types of anterior superior iliac spine avulsion fractures. J Pediatr Orthop. 2002; 22:578-82. 10-Arenas AJ, Pampliega T. An unusual kind of fracture. Acta Orthop Belg. 1993; 59:398-400. 11- Meyer NJ, Schwab JP, Orton D. Traumatic unilateral avulsion of the anterior superior and inferior iliac spines with anterior dislocation of the hip: a case report. J Orthop Trauma. 2001; 15:137-40. 12-Rajasekhar C, Kumar KS, Bhamra MS. Avulsion fractures of the anterior inferior iliac spine: the case for surgical intervention. Int Orthop. 2001; 24:364-5. 13-Gomez JE. Bilateral anterior inferior iliac spine avulsion fractures. Med Sci Sports Exerc. 1996; 28:161 14-Metzmaker JN, Pappas AM. Avulsion fractures of the pelvis. Am J Sports Med. 1985; 13:349-58. 15-Fernbach SK, Wilkinson RH. Avulsion injuries of the pelvis and proximal femur. Am J Roentgenol. 1981; 137:581-4. 16-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. 17-Irving MH. Exostosis formation after traumatic avulsion of the anterior inferior iliac spine. Report of two cases. J Bone Joint Surg [Br]. 1964; 46:720-2.
Öz
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.
Anahtar Kelimeler
Kaynakça
- 1- Rossi F, Dragoni S. Acute avulsion fractures of the pelvis in adolescent competitive athletes: prevalence, location Avulsion fracture of the anterior inferior iliac spine and sports distribution of 203 cases collected. Skeletal Radiol. 2001; 30:127-31. 2- Kujala UM, Orava S. Ischial apophysis injuries in athletes. Sports Med. 1993; 16:290-4. 3- Akova B, Okay E. Avulsion of the ischial tuberosity in a young soccer player: six years follow-up: J Sports Science Medicine. 2002; 1:27-30. 4- Yildiz C, Aydin T, Yildiz Y, Kalyon TA, Basbozkurt M. Anterior inferior iliac spine apophyseal avulsion fracture. J South Orthop Assoc. 2003; 12:38-40. 5- Orava S, Ala-Ketola L. Avulsion fractures in athletes. Br J Sports Med. 1977; 11:65-71. 6- Pennig D, Gladbach B, Majchrowski W. Disruption of the pelvic ring during spontaneous childbirth. A case report. J Bone Joint Surg [Br]. 1997; 79:438-40. 7- Canale ST, King RE. Pelvic and hip fractures. In: Rockwood CA, Wilkins KE, King RE, editors. Fractures in children. Vo l. 3, 3rd ed. Philadelphia: J. B. Lippincott; 1991. p. 991-1120. 8- Nanka O, Havránek P, Pesl T, Dutka J. Avulsion fracture of the pelvis: separation of the secondary ossification center in the superior margin of the acetabulum. Clin Anat. 2003; 16:458-60. 9- White KK, Williams SK, Mubarak SJ. Definition of two types of anterior superior iliac spine avulsion fractures. J Pediatr Orthop. 2002; 22:578-82. 10-Arenas AJ, Pampliega T. An unusual kind of fracture. Acta Orthop Belg. 1993; 59:398-400. 11- Meyer NJ, Schwab JP, Orton D. Traumatic unilateral avulsion of the anterior superior and inferior iliac spines with anterior dislocation of the hip: a case report. J Orthop Trauma. 2001; 15:137-40. 12-Rajasekhar C, Kumar KS, Bhamra MS. Avulsion fractures of the anterior inferior iliac spine: the case for surgical intervention. Int Orthop. 2001; 24:364-5. 13-Gomez JE. Bilateral anterior inferior iliac spine avulsion fractures. Med Sci Sports Exerc. 1996; 28:161 14-Metzmaker JN, Pappas AM. Avulsion fractures of the pelvis. Am J Sports Med. 1985; 13:349-58. 15-Fernbach SK, Wilkinson RH. Avulsion injuries of the pelvis and proximal femur. Am J Roentgenol. 1981; 137:581-4. 16-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. 17-Irving MH. Exostosis formation after traumatic avulsion of the anterior inferior iliac spine. Report of two cases. J Bone Joint Surg [Br]. 1964; 46:720-2.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Ağustos 2013 |
| Gönderilme Tarihi | 28 Ağustos 2013 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 3 Sayı: 2 |
