title: Lesser Trochanter Avulsion Fracture in an Adolescent after Seizure.
abstract: BACKGROUND
  Injury secondary to epileptic seizure is widely documented in the literature. In particular, uncontrolled muscular contractions generated during a seizure can lead to a variety of musculoskeletal injuries.
  
  
  METHODS
  We present the case of a 16-year-old male who presented on two separate occasions after a tonic-clonic seizure with hip pain, an antalgic gait, and marked discomfort on hip flexion. Radiologic investigation revealed an acute isolated fracture of the lesser trochanters. Such fractures in adolescents are normally secondary to athletic injury and in adults are mainly associated with the presence of metastatic bone disease. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: We present this case with its previously undocumented mechanism to highlight the injury to frontline emergency medical teams, create awareness of its presentation, and to discuss its potential mechanism and treatment.
authors.affiliation: Aberdeen Royal Infirmary, Aberdeen, UK.
authors.forename: Tristan
authors.initials: T
authors.lastname: McMillan
authors.affiliation: Aberdeen Royal Infirmary, Aberdeen, UK.
authors.forename: Haroon
authors.initials: H
authors.lastname: Rehman
authors.affiliation: Aberdeen Royal Infirmary, Aberdeen, UK.
authors.forename: Martin
authors.initials: M
authors.lastname: Mitchell
mesh_terms: D000293:Adolescent; D000072700:Conservative Treatment; D005264:Femoral Fractures / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D059352:Musculoskeletal Pain / Q000209:etiology; D012640:Seizures / Q000150:complications*
keywords: avulsion fracture; fracture; lesser trochanter; seizure injury