Fracture bilatérale et séquentielle par avulsion de l’épine iliaque antéro-supérieure chez un jeune footballeur

Traumatic avulsion of the anterior superior and inferior iliac spines in adult: A case report

Introduction

Avulsion fractures of the anterior superior and inferior iliac spines are rare fractures. They are mostly observed in adolescents during sports accidents, traumatic forms are even more exceptional.

Case report

Here we report a case of simultaneous and homolateral avulsion fractures of both anterior superior and anterior inferior iliac spines in a 35-year-old male adult after a motorcycle accident. Surgical treatment using an open reduction and fixation of the two spines was performed with very good functional outcomes. Surgical management of iliac spine avulsion fractures allows recovery of the subsequent level of sports activity in most cases.

Conclusion

Avulsion fractures of the anterior superior and inferior iliac spines are rare fractures. Surgical management of iliac spine avulsion fractures allows recovery of the subsequent level of sports activity in most cases. Orthopedic treatment is still used for the management of this type of injury, thus comparative studies are needed to refine the criteria for surgery.

Anterior superior iliac spine avulsion in a young soccer player

Avulsion fractures of the anterior superior iliac spine are rare. They usually occur in teenagers during sport activities. Cases concerning adults are very uncommon. We report here the case of a 23-year-old man who was admitted for recent pain of the left hip that worsened while kicking a ball in a soccer match eight days earlier. The examination found pain when moving the left hip in extension. Radiographs showed an avulsion fracture of the left anterior superior iliac spine, which was confirmed by computer tomography. The treatment was conservative consisting in rest and non-weight bearing with releasing of pain a few weeks later.