title: Late presentation of a subiliacus haematoma after an apophyseal injury of the anterior inferior iliac spine.
abstract: Apophyseal injuries are particularly common in adolescents when the growth spurt that accompanies puberty places increased strain on developing bones and muscles. Bone growth in particular exceeds that of soft tissues resulting in relatively tight musculature and subsequent excessive strain at these sites of tendon insertion into bone. We describe a case of a young athlete who presented with chronic hip pain after an anterior inferior iliac spine apophyseal injury with subsequent haematoma formation under the iliacus muscle. There was no evidence of a bleeding disorder. In view of the late presentation, he was managed non-operatively. This injury requires a low threshold for early cross-sectional imaging. The delay in management in this case did not lead to any long-term sequelae.
authors.affiliation: Department of Trauma & Orthopaedics, University College Hospital, London, UK.
authors.forename: Muhammad Asim
authors.initials: MA
authors.lastname: Khan
authors.affiliation: Department of Trauma & Orthopaedics, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.
authors.forename: Samuel Richard
authors.initials: SR
authors.lastname: Whitaker
authors.affiliation: Department of Trauma & Orthopaedics, University College Hospital, London, UK.
authors.forename: Mazin S
authors.initials: MS
authors.lastname: Ibrahim
authors.affiliation: Department of Trauma & Orthopaedics, University College Hospital, London, UK.
authors.forename: Fares S
authors.initials: FS
authors.lastname: Haddad
mesh_terms: D000293:Adolescent; D041923:Adolescent Development; D001846:Bone Development; D006406:Hematoma / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007085:Ilium / Q000293:injuries*; D008279:Magnetic Resonance Imaging; D008297:Male; D012916:Soccer / Q000293:injuries*