Ischial avulsion fractures classically occur in the pediatric population and are relatively uncommon. These injuries are treated conservatively; however, in cases where there is greater than 2 cm of displacement, surgical intervention is recommended. In some cases, displaced fractures are either misdiagnosed or proper treatment is neglected, and patients who transition into adulthood are left with chronic nonunions that can become a source of pain and disability. Here we present a surgical technique for a chronic ischial avulsion fracture nonunion that is excised, and the hamstring tendons are then primarily repaired to the ischium using suture anchors.
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| http://dx.doi.org/10.1016/j.eats.2022.06.017 | DOI Listing |
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Acute avulsion fracture of the ischial tuberosity in an adolescent athlete treated by suture anchor fixation using the suture bridge technique: a case report.
J Surg Case Rep
November 2024
Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima, 770-8503, Japan.
Article Synopsis
- This report discusses the successful treatment of a 13-year-old boy with an acute avulsion fracture of the ischial tuberosity using a new approach involving suture anchor fixation.
- The injury occurred during running, leading to a significant displacement of the fractured fragment, which required surgical intervention 5 days later.
- Post-surgery, the patient showed complete bone fusion after one year and was able to return to competitive sports, demonstrating the effectiveness of the suture bridge technique with multiple anchors for this type of fracture.
Proximal avulsion of the hamstring in young athlete patients: a case series and review of literature.
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Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100, Pavia, Italy.
Hamstring injuries are a frequent occurrence of athletes, leading to a stop in practice and long-term alterations in sports performance. About 12% of these lesions involve avulsion at the level of the proximal insertion that can be complete (about 6%) or partial. Starting from an epidemiological and treatment evaluation of these lesions in literature, the aim of this study was to examine the functional outcomes and the rate of "return to play" in a population composed of athletes of various levels who have undergone surgery to reinsert the hamstring muscles at the ischial insertion, for a complete detachment of one or more tendon heads.
View Article and Find Full Text PDFSurgically Treated Ischial Tuberosity Avulsion Fractures in Adolescents: Risks and Outcomes of 3 Fixation Constructs.
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Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Introduction: Avulsion fractures of the ischial tuberosity (AFIT) are uncommon injuries that sometimes require operative fixation with screws, suture anchors, or cortical suspensory buttons. This study reviewed a series of surgically managed AFITs at a single institution and compared outcomes among fixation strategies. We hypothesized there would be no difference in outcomes between fixation types.
View Article and Find Full Text PDFManagement of Proximal Hamstring Injuries: Non-operative and Operative Treatment.
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