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The most recent version of this article was published on 1 November 2007

Br J Sports Med. Published Online First: 22 June 2007. doi:10.1136/bjsm.2007.036921
Copyright © 2007 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

Tennis issue

Sports related acute and chronic avulsion injuries in children and adolescents with special emphasis on tennis

Everhard Julienne Marc Vandervliet 1, Filip Maria Vanhoenacker 1*, Annemie Snoeckx 1, Jan Louis Gielen 1, Pieter Van Dyck 1 and Paul Marie Parizel 1

1 Universitair Ziekenhuis Antwerpen, Belgium

* To whom correspondence should be addressed. E-mail: filip.vanhoenacker{at}telenet.be.

Accepted 6 June 2007


Abstract

Acute and chronic sports related muscle and tendon injuries are not infrequent in youngsters. Particularly the physis is prone to trauma, as it constitutes the weakest part of the immature skeleton. The kind of sports activity determines the location of the lesion. Most commonly apophyses of hip and pelvis are subject to avulsion. The purpose of this paper is to give a short overview of the pathogenesis, location, prevalence and imaging characteristics of acute and chronic avulsion injuries in the immature skeleton, with special emphasis on tennis related injuries. Tennis-related injuries particularly involve the apophyses of the ischial tuberosity, the anterior inferior or superior iliac spine and the iliac crest.

Key Words: MR imaging, adolescent, children, sports injuries, tennis


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