Skip to main content

Fracture, Avulsion: ASIS, AIIS, Ischial Tuberosity, Iliac Crest, Sports Medicine

Andrew Smith, MD, FAAP Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Injury that typically occurs at the unfused apophysis (secondary growth center) in an adolescent athlete

  • Apophyseal fractures are more common in pediatric patients than muscle tears a...

DIAGNOSIS

HISTORY

  • Athlete often reports popping or snapping with immediate onset of severe pain and swelling over fracture site followed by limping or inability to bear weight with associated weakness ...

TREATMENT

GENERAL MEASURES

  • Conservative management indicated for patients with fracture displacement <1.5 to 2.0 cm 2[A]

  • Phased return-to-play protocol guided by pain and function 1[C]

  • Initial period ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Most fractures heal with conservative treatment.

  • Consider repeat radiographs to assess for bony healing if patient has persistent pain or weakness in phased return...

REFERENCES

1
Schiller J, Defroda S, Blood T. Lower extremity avulsion fractures in the pediatric and adolescent athlete. J Am Acad Orthop Surg.  2017;25(4):251–259.
2
Eberbach H, Hohloch L, Feucht M...

ADDITIONAL READING

  • Kautzner J, Trc T, Havlas V. Comparison of conservative against surgical treatment of anterior-superior iliac spine avulsion fractures in children and adolescents. Int Orthop.  ...

CLINICAL PEARLS

  • Pelvic avulsion fractures are common in adolescent athletes.

  • The majority of pelvic avulsion fractures can be diagnosed by radiographs.

  • Conservative management of pelvic avulsion fractur...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×