Rarely Observed Sports Injuries: Two Case Reports

Year 2016, Volume: 7 Issue: 1, 1 - 2, 01.01.2016

Erdal Uzun Turan Bilge Kızkapan Emre Bülbül

Abstract

Introduction: Avulsion fractures of the anterior inferior iliac spine (AIIS), anterior superior iliac spine (ASIS), tuberositas ischii, iliac apophysis, and reflected head of rectus occur in children because of apophyseal cartilage failure. In this report, we present two cases of avulsion fractures of the AIIS and tuberositas ischii.Case Report: Two amateur football players who are 15 and 16 years old presented to an emergency clinic with groin pain after kicking the ball during a football match. Their passive hip motions were normal, whereas active hip motions were painful and right groins were painful during deep palpation. Radiological examinations revealed avulsion fracture of AIIS in one patient and avulsion fracture of the tuber ischium in the other patient. We started analgesic treatment in both patients with them lying in the supine position with the hip in 45 degree flexion. Patients were mobilized after 2 weeks with elbow crutches. Four weeks later, we started active hip motions. Conclusion: Avulsion fractures of the ASIS and tuber ischiadicum are rare cases in adolescent sportsmen. These injuries can easily be overlooked or misdiagnosed. A delay in diagnosis may cause hip pain and lower the performance of sportsmen

Keywords

Avulsion fracture, apophysis, adolescent

References

• Bolgla LA, jones DL, Keskula DR, Duncan JB. Hip pain in a high school football palyer: A case report. J Athl Train 2001; 36: 81-4
• Metzmaker JN, Pappas AM. Avulsion fractures of the pelvis. Am J Sports Med 1985; 13: 349-58. [CrossRef]
• Roy S, Irvin R. Sports medicine: prevention, evaluation, management, and rehabilitation. 1 st ed. New jersey: Prentice-Hall; 1983.
• Gomez JE. Bilateral anterior inferior iliac spine avulsion fractures. Med Sci sports Exerc 1996; 28: 161-4. [CrossRef]
• Lambert MJ, Flinger DJ. Avulsion of the iliac crest apophysis: a rare fracture in adolescent athletes. Ann Emerg Med 1993; 22: 1218-20. [CrossRef]
• White KK, Williams SK, Mubarak SJ. Definition of two types of anterior superior iliac spine avulsion fractures. J Pediatr Orthop 2002; 22: 578-82. [CrossRef]
• Akova B, Okay. Avulsion of the ischial tuberosity in a young soccer play- er: six years follow-up: J Sports Sci Med 2002; 1: 27-30.
• Rajasekhar C, Kumar KS, Bhamra MS. Avulsion fractures of the anterior infe- rior iliac spine: the case for surgical intervention. Int Orthop 2001; 24: 364-5. [CrossRef]
• Irving MH. Exostosis formation after traumatic avulsion of the anterior inferior iliac spine. Report of two cases. J Bone Joint Surg 1964; 46: 720-2. 2