CASE REPORT

Multiple osteochondroses and avulsion fracture of anterior superior iliac spine in a soccer player

M N Doral, S T Aydog, O Tetik, O A Atay, E Turhan, H A Demirel

Department of Orthopedics and Department of Sports Medicine, Hacettepe University, Ankara, Turkey

Correspondence to:
Correspondence to:
Dr Doral
Department of Orthopedics and Department of Sports Medicine, Hacettepe University Medical School, Ankara 06100, Turkey; mn-doral{at}bim.net.tr

Apophysitis describes a chronic traction injury at the insertion site of a tendon. There is a gradual onset of pain with no clear history of injury. Without adequate preventive methods, an avulsion fracture may result. The case is here reported of an apophyseal avulsion fracture of the anterior superior iliac spine in an adolescent caused by playing football before the end of treatment for apophysitis. An open reduction and internal fixation was performed followed by a rehabilitation programme. No complications occurred, and the patient had returned to his previous level of sporting activity after six weeks.

View larger version (94K): [in this window] [in a new window]   Figure 6  Normal range of movement six weeks after the operation. Permission for the publication of this figure was obtained from the patient.

 

Keywords: adolescents; anterior superior iliac spine; avulsion fracture; Osgood-Schlatter’s disease; soccer

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Relevant Article

Online original article and case report
Br. J. Sports Med. 2005 39: 165. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

• Boyce, S. H, Quigley, M. A (2009). Simultaneous bilateral avulsion fractures of the anterior superior iliac spines in an adolescent sprinter. BMJ Case Reports 2009: bcr0520091827-bcr0520091827 [Abstract] [Full Text]