Pediatric and adolescent apophyseal avulsion injuries are rare but important to recognize. This case report presents a 15-year-old male sprinter with a lesser trochanter apophyseal avulsion fracture who was treated nonoperatively. After 12 months of follow-up, conservative management resulted in significant healing and consolidation, with no pain or functional limitations at final follow-up. Conservative management of apophyseal avulsion injuries leads to positive outcomes in adolescents, while surgical intervention may be necessary for certain cases. Precise diagnosis and management are essential for successful outcomes, and in adults, a more extensive workup is recommended to rule out underlying malignancy.
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http://dx.doi.org/10.7759/cureus.63236 | DOI Listing |
Vet Radiol Ultrasound
January 2025
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
The tibial apophysis is a separate center of ossification in the proximal tibia of skeletally immature dogs. Because it is made of cartilage during development, it is prone to fractures (avulsions) and other tensile-related injuries. One prior veterinary study proposed a classification system for proximal tibial apophyseal fractures, but this study did not include fractures that involved the proximal tibial physis or metaphysis, which have been described in human classification systems.
View Article and Find Full Text PDFHeliyon
August 2024
Department of Ultrasound, Ningbo NO. 6 Hospital, 1059 Zhongshan East Road, Ningbo, Zhejiang, 315040, PR China.
Purpose: This study presents a rare case of avulsion fracture of the anterior inferior iliac spine, typically occurring in adolescents engaged in physical activities. The purpose of this study is to emphasize the diagnostic challenges and conservative treatment options available for this condition.
Method: We describe the case of a 14-year-old healthy adolescent who suffered from an avulsion fracture following pelvic trauma after participating in a short-distance sprint.
Cureus
June 2024
Department of Orthopedics, Nova Southeastern University, College of Osteopathic Medicine, Fort Lauderdale, USA.
Pediatric and adolescent apophyseal avulsion injuries are rare but important to recognize. This case report presents a 15-year-old male sprinter with a lesser trochanter apophyseal avulsion fracture who was treated nonoperatively. After 12 months of follow-up, conservative management resulted in significant healing and consolidation, with no pain or functional limitations at final follow-up.
View Article and Find Full Text PDFAm J Sports Med
July 2024
Scottish Rite for Children, Dallas, Texas, USA.
J Orthop Case Rep
May 2024
Department of Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Roma, Italy.
Introduction: Pelvic apophyseal avulsion fractures are uncommon injuries that frequently affect adolescents while participating in sports. This occurs because the enthesis cannot withstand the tractional force applied because the apophysis has not yet fully fused. Due to its complex muscular structure, being the origin of several muscles that cross two lower extremity joints, the pelvis has an increased risk for such injuries.
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