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Case Reports
. 2018 Jan;100(1):e4-e6.
doi: 10.1308/rcsann.2017.0175. Epub 2017 Oct 19.

Iliac crest apophyseal insufficiency avulsion fractures

H E Matar  1 , S Tripathi  1 , D J Miller  1
Affiliations
Case Reports

Iliac crest apophyseal insufficiency avulsion fractures

H E Matar et al. Ann R Coll Surg Engl. 2018 Jan.

Abstract

Iliac crest apophyseal avulsion fractures are rare injuries caused mainly through forceful contraction of attached muscles during high level sporting activities. We present the first case of a spontaneous iliac crest apophyseal avulsion insufficiency fracture in a patient with severe atopic eczema on oral steroids and review the relevant literature.

Keywords: Apophyseal fracture; Avulsion fracture; Corticosteroids; Iliac crest; Insufficiency fracture.

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Figures

Figure 1
Figure 1
Anteroposterior pelvic radiography at initial presentation demonstrating right iliac crest apophyseal avulsion fracture (arrow)
Figure 2
Figure 2
Coronal and axial T2 weighted magnetic resonance imaging of the pelvis with intense oedema around the iliac crest apophysis suggestive of acute avulsion fracture (arrows)
Figure 3
Figure 3
Gadolinium enhanced coronal and axial magnetic resonance imaging of the pelvis at three months demonstrating minimal oedema around the iliac crest apophysis, which has significantly improved compared with initial imaging (Fig 2), with no enhancing mass lesions
Figure 4
Figure 4
Anteroposterior pelvic radiography at final follow-up visit demonstrating healed right iliac crest apophyseal avulsion fracture
See this image and copyright information in PMC

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