title: Anterior inferior iliac spine avulsion fracture: a series of 5 cases.
abstract: Avulsion fractures of the pelvic apophyses rarely occur in adolescent athletes in the course of sudden strong contraction of muscle attached to growth cartilage. This injury may usually be misdiagnosed for tendon or muscle strain. Patient's history, physical examination, and radiologic studies are important for diagnosis. The literature includes only a few case reports but no case series as yet. The aim of this study was to present the results of 5 cases of anterior inferior iliac spine (AIIS) avulsion fractures treated conservatively. The study included 5 patients (4 male, 1 female, mean age 13.6 years) who underwent conservative treatment for AIIS avulsion fractures and had an adequate follow-up. All patients were admitted to the emergency department and misdiagnosed as muscle strain. Three of them were football player, 1 skier, and 1 fighter. Each patient was treated with immobilization and nonsteroidal anti-inflammatory drugs. At follow-up, all patients showed relief from their pain and mechanical symptoms and regained full range of motion and returned to their previous levels of activity. Diagnosis requires careful attention to the physical examination and imaging. In this series, all pelvic avulsion fractures (100%) were managed successfully with a conservative approach. Good results and return to previous levels of activity can be achieved with conservative treatment.
authors.affiliation: From the Faculty of Medicine (SS, UT, Birhan OKTAS), Department of Orthopaedics and Traumatology, Kırıkkale University, Kırıkkale; Faculty of Medicine (HBT), Department of Orthopaedics and Traumatology, Adıyaman University, Adıyaman; and Department of Orthopaedics and Traumatology (EK), Anamed Private Hospital, Mersin, Turkey.
authors.forename: Sancar
authors.initials: S
authors.lastname: Serbest
authors.forename: Hac Bayram
authors.initials: HB
authors.lastname: Tosun
authors.forename: Uğur
authors.initials: U
authors.lastname: Tiftikçi
authors.forename: Birhan
authors.initials: B
authors.lastname: Oktas
authors.forename: Engin
authors.initials: E
authors.lastname: Kesgin
mesh_terms: D000293:Adolescent; D001265:Athletic Injuries / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007085:Ilium; D008297:Male; D016059:Range of Motion, Articular; D016103:Spinal Fractures / Q000175:diagnosis* / Q000628:therapy