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Introduction: Sports-related recurrent injuries (microtrauma and trauma) of the apophyses are common in children and adolescents and could result in specific pathologies. One of them is the apophysitis or apophysiolysis of ischial tuberosity (Valtancoli or Kremser's disease) due to contraction of hamstrings, in sports with sudden accelerations and decelerations.

Case Report: We present the case of a male athlete who complained of pain in the left buttock and difficulty walking after a 3months old reported trauma with pain and hematoma in his left thigh, during a kick with his contralateral leg.

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Ischial stress fracture.

Br J Sports Med

June 1983

A single report of a very unusual stress fracture in the ischium of a fourteen year old athlete. The mechanism and the more usual lesion of ischial apophysiolysis is discussed.

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