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Case Reports
. 2019 Nov 7:24:100257.
doi: 10.1016/j.tcr.2019.100257. eCollection 2019 Dec.

A rare case of avulsion fracture of the iliac crest apophysis in a young female athlete

Michele Losco  1 , Michael J Ceglia  1 , Francesco Lazzarini  1 , Pietro De Biase  1 , Roberto Buzzi  1
Affiliations
Case Reports

A rare case of avulsion fracture of the iliac crest apophysis in a young female athlete

Michele Losco et al. Trauma Case Rep. .

Abstract

Avulsion fractures of the iliac crest in the adolescent are rare injuries poorly described in literature. The rarity of this injury along with the late ossification of the growth plate of the iliac crest can lead to misdiagnosis and improper treatment. In presence of high clinical suspicion and negative x-ray findings, second level imaging is advisable. Case reports and some case series report on successful outcome of both surgical and non-surgical treatment. We present the case of a fifteen year old female athlete who sustained an avulsion fracture of the iliac crest during a running race. The patient was treated conservatively and returned to previous sport activities after four months from injury. Mechanism of injury, diagnostic options and treatment opportunities are also described.

Keywords: Apophyseal fracture; Avulsion fracture; Fracture in athletes; Iliac crest; Pelvis.

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Conflict of interest statement

All authors declare no conflict of interest for the present study.

Figures

Fig. 1
Fig. 1
An anterior to posterior (AP) X-ray of the pelvis demonstrated an avulsion fracture of the left iliac crest apophysis with minimal displacement.
Fig. 2
Fig. 2
AP and an internal obturator view of the left hemipelvis ruled out any further fracture displacement at three weeks follow-up.
Fig. 3
Fig. 3
Magnetic resonance imaging performed two months after the trauma that demonstrated an advanced healing phase of the growth plate with minimal displacement.
See this image and copyright information in PMC

References

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