Nontraumatic avulsions of the pelvis

Surgical treatment for acute ischial tuberosity avulsion fracture: A case report

RATIONALE

Ischial tuberosity avulsion fracture (ITAF) is a very rare sports injury, and there is currently no consensus on its diagnosis and treatment. Although conservative treatment is adequate for most patients, those with large displacement of the fracture need surgical management.

PATIENT CONCERNS

A 13-year-old male athlete experienced tearing pain in the right hip during a sprint. Radiographic examination showed an avulsion fracture of the right ischial tuberosity.

DIAGNOSIS

Right ITAF.

INTERVENTIONS

On the 3rd day of injury, the patient was treated with open reduction and internal fixation of ITAF under general anesthesia.

OUTCOMES

The patient received a systematic postoperative exercise in 2 weeks, and the fracture healed 4 weeks later. After 8 months, the patient returned to the field to participate in the competition.

LESSONS

Early surgical treatment can bring about good results in the treatment of ITAF with large displacement. The longitudinal incision and subgluteal approach is an ideal choice for the operative procedure.

Inflammatory bowel disease, high-dose steroids, osteoporosis, or an oncological etiology for a pathological femoral neck fracture in a young adult: a case report

Femoral neck fractures occur in approximately 6,000 of young adults annually (ages 18-49) (1). Of these, a high-energy traumatic event is the typical cause. Although medications and chronic diseases have been implicated as confounding causes of hip fractures, clinicians should have a high index of suspicion for an oncologic etiology of hip fractures occurring in young patients without an inciting traumatic event.

Simultaneous ipsilateral avulsion of the anterior superior and anterior inferior iliac spines in an adolescent

BACKGROUND

Only one case of simultaneous avulsion fractures of the anterior superior and anterior inferior iliac spines has been previously reported. This was associated with a hip dislocation.

METHODS

A 16-year-old male adolescent sustained ipsilateral avulsion fractures of his superior and inferior iliac spines from a hyperextension injury of his right hip in a skiing accident. He healed satisfactorily after nonoperative treatment with protected weight bearing and limited active hip range of motion.

RESULTS

The patient healed in 12 weeks and returned to full activities, including sports, without complications.

CONCLUSIONS

Conservative treatment of simultaneous ipsilateral avulsion fractures of the anterior superior and anterior inferior iliac spines can lead to a good outcome.