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Case Reports
. 2021 Dec 24;2021(12):rjab573.
doi: 10.1093/jscr/rjab573. eCollection 2021 Dec.

Case report of combined iliac crest and ASIS apophysis avulsion fracture in an adolescent footballer

Chloe Chan  1 , Mohammed Zain Sohail  1 , Pranai Buddhdev  1
Affiliations
Case Reports

Case report of combined iliac crest and ASIS apophysis avulsion fracture in an adolescent footballer

Chloe Chan et al. J Surg Case Rep. .

Abstract

Pelvic apophyseal avulsion fractures are uncommon injuries that typically occur in adolescents during sporting activities. Iliac crest (IC) apophyseal injuries represent a small percentage avulsion fracture around the pelvis with a reported incidence rate of 5%. We present a rare case of an adolescent boy who sustained a combined anterior superior iliac spine/iliac crest apophyseal avulsion fracture while playing football. With painful limited hip range of movement and inability to weight-bear, plain film and computed tomography scan illustrated a displaced fracture which was managed conservatively with an excellent clinical and radiological outcome. A review of apophyseal fractures around the pelvis, including incidence, mechanism of injury and treatment options regarding surgical versus conservative treatment, are discussed.

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Figures

Figure 1
Figure 1
AP radiograph following injury, demonstrating a large avulsion from the right hemipelvis, including the ASIS and portion of the IC apophysis (R - Right).
Figure 2
Figure 2
3D reconstruction of tomographic CT scan illustrating avulsion fracture of ASIS and IC apophysis with its latero-inferior displacement (R - Right, L - Left, A - Anterior).
Figure 3
Figure 3
3D reconstruction of tomographic CT scan illustrating avulsion fracture of ASIS and IC apophysis with its latero-inferior displacement (R - Right, L - Left, A - Anterior).
Figure 4
Figure 4
3D reconstruction of tomographic CT scan illustrating avulsion fracture of ASIS and IC apophysis with its latero-inferior displacement (P - Posterior).
Figure 5
Figure 5
Plain AP radiograph 4 weeks following injury, demonstrating callus formation between avulse bony fragments and right hemipelvis (L - Left).
See this image and copyright information in PMC

References

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