title: A surgical approach for an avulsion fracture of the ischial tuberosity: a case report.
abstract: We report a case of an avulsion fracture of the ischial tuberosity treated with a new surgical approach early after injury. Although surgical treatment of this fracture is usually avoided because of the difficulty of the procedure and the risk of sciatic nerve complication, we believe our subgluteal approach is simple and safe. We therefore recommend it for treating avulsion fractures of the ischial tuberosity, especially when the fragment is displaced by >2 cm and the sciatic nerve is not involved. If there is clinical evidence of sciatic nerve disturbance, it is likewise an indication for surgery. However, the incision needs to be deepened to approach the nerve, along the lines of the incisions advocated by both Miller and Spinner.
authors.affiliation: Department of Orthopaedic Surgery, Akashi Medical Center Hospital, Akashi, Japan. syu-kaneyama@pop12.odn.ne.jp
authors.forename: Shuichi
authors.initials: S
authors.lastname: Kaneyama
authors.forename: Kazuya
authors.initials: K
authors.lastname: Yoshida
authors.forename: Shinji
authors.initials: S
authors.lastname: Matsushima
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Wakami
authors.forename: Masaya
authors.initials: M
authors.lastname: Tsunoda
authors.forename: Minoru
authors.initials: M
authors.lastname: Doita
mesh_terms: D000293:Adolescent; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007512:Ischium / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D008297:Male; D011859:Radiography