Öz
The anterior inferior iliac spine (AIIS) and the anterior superior iliac spine (ASIS) avulsion fracture is a rare injury of pelvis. It usually occurs during the sport activities especially in football while hitting the ball. It is commonly misdiagnosed so that a detailed history and physical examination have a great importance. We present two cases of AIIS and ASIS avulsion fracture. Both of the patients applied to outpatient clinics with hip pain and difficulty in walking. History revealed the complaints started after hitting the ball during the football match and hip movements were limited. The patients were fifteen and sixteen years and after physical examination and radiological evaluation, avulsion fracture of the AIIS and the ASIS were diagnosed. Patients were treated conservatively with non-steroidal anti-inflammatory drugs and limited weight bearing with crutches for a month. The patients were free of pain and had full range of hip movements after one month period. At the end of the second month patients returned to active sports. AIIS and ASIS avulsion fractures are more common in adolescent football players but clinicians sometimes fail to diagnose this rare injury. We emphasize the importance of the detailed history and clinical examination and direct radiography could be enough for the diagnosis
Anahtar Kelimeler
Anterior inferior iliac spine (AIIS) anterior superior iliac spine (ASIS) avulsion fracture adolescent football player
Kaynakça
- Meyer NJ, Schwab JP, Orton D. Traumatic unilateral avulsion of the anterior superior and inferior iliac spine with anterior dislocation of the hip: A case report. J Orthop Trauma
- ;15:137-140.
- Metzmaker JN, Pappas AM. Avulsion fractures of the pelvis.
- AmJ SportsMed1985;13:349-358.
- Sundar M, Carty H. Avulsion fractures of the pelvis in children: a report of 32 fractures and their outcome. Skeletal Radiol 1994;23:85-90.
- Rossi F, Drogni S. Acute avulsion fracture of the pelvis in
- adolescent competitive athletes: prevalence, location and
- sports distribution of 203 cases collected. Skeletal Radiol
- ;30:127-131.
- Rajasekhar C, Kumar KS, Bhamra MS. Avulsion fractures of
- the anterior inferior iliac spine: the case for surgical intervention. Int Orthop 2001;24:364-365.
- Soyuncu Y, Gur S. Avulsion injuries of the pelvis in adolescents. Acta Orthopaedica Et Traumatologica Turcica
- ;38:88-92.
- Pointinger H, Munk P, Poeschl GP. Avulsion fracture of the
- anterior superior iliac spine following apophysitis. Br J
- Sports Med 2003;37:361-362.
- U. H. Gölge, ve ark. Spina iliaka avulsiyon kırıklarının konservatif tedavisi
- Yildiz C, Yildiz Y, Ozdemir MT, et al. Se¬quential avulsion
- of the anterior inferior iliac spine in an adolescent long
- jumper. Brit J Sport Med 2005;39:e31.
- İmerci A, Akalın Y, Bozoğlan M, et al. Pelvic ring avulsion
- fractures in young footballers: Three cases report. JAEMCR 2014;5:39-42.
- Bülbül M, Ayanoğlu S, İmren Y, Gürbüz H. Genç erişkin
- (adolesan) futbolculardaki spina iliaka anterior inferior
- avulsiyon kırıklarının konservatif tedavisi(iki olgu sunumu). ADÜ Tıp Fakültesi Dergisi 2011;12:49-51.
- Kaymaz B, Eroğlu M. Avulsion fracture of the anterior inferior iliac spine in an uncommon way: A rare case. J Clin Exp Invest 2012;3:267-269.
- Tamam C,Yıldırım D. Avulsion fracture of anterior ınferior
- ıliac spine in a skeletally mature man; mimicking pathologic bone lesion. Eur J Gen Med 2011;8:82-84.
- Dhinsa BS, Jalgaonkar A, Mann B, et al. Avulsion fracture
- of the anterior superior iliac spine: misdiagnosis of a bone
- tumour. J Orthopaed Traumatol 2011;12:173-176.
Adölesan amatör futbolcularda görülen spina iliaka anterior ve superior avulsiyon kırıklarının konservatif tedavisi: İki olgu sunumu
Öz
The anterior inferior iliac spine (AIIS) and the anterior superior iliac spine (ASIS) avulsion fracture is a rare injury of pelvis. It usually occurs during the sport activities especially in football while hitting the ball. It is commonly misdiagnosed so that a detailed history and physical examination have a great importance. We present two cases of AIIS and ASIS avulsion fracture. Both of the patients applied to outpatient clinics with hip pain and difficulty in walking. History revealed the complaints started after hitting the ball during the football match and hip movements were limited. The patients were fifteen and sixteen years and after physical examination and radiological evaluation, avulsion fracture of the AIIS and the ASIS were diagnosed. Patients were treated conservatively with non-steroidal anti-inflammatory drugs and limited weight bearing with crutches for a month. The patients were free of pain and had full range of hip movements after one month period. At the end of the second month patients returned to active sports. AIIS and ASIS avulsion fractures are more common in adolescent football players but clinicians sometimes fail to diagnose this rare injury. We emphasize the importance of the detailed history and clinical examination and direct radiography could be enough for the diagnosis.
Key words: Anterior inferior iliac spine (AIIS), anterior superior iliac spine (ASIS), avulsion fracture, adolescent, football player
Anahtar Kelimeler
Spina iliaka anterior inferior spina iliaka anterior superior avulsiyon kırığı adölesan futbolcu
Kaynakça
- Meyer NJ, Schwab JP, Orton D. Traumatic unilateral avulsion of the anterior superior and inferior iliac spine with anterior dislocation of the hip: A case report. J Orthop Trauma
- ;15:137-140.
- Metzmaker JN, Pappas AM. Avulsion fractures of the pelvis.
- AmJ SportsMed1985;13:349-358.
- Sundar M, Carty H. Avulsion fractures of the pelvis in children: a report of 32 fractures and their outcome. Skeletal Radiol 1994;23:85-90.
- Rossi F, Drogni S. Acute avulsion fracture of the pelvis in
- adolescent competitive athletes: prevalence, location and
- sports distribution of 203 cases collected. Skeletal Radiol
- ;30:127-131.
- Rajasekhar C, Kumar KS, Bhamra MS. Avulsion fractures of
- the anterior inferior iliac spine: the case for surgical intervention. Int Orthop 2001;24:364-365.
- Soyuncu Y, Gur S. Avulsion injuries of the pelvis in adolescents. Acta Orthopaedica Et Traumatologica Turcica
- ;38:88-92.
- Pointinger H, Munk P, Poeschl GP. Avulsion fracture of the
- anterior superior iliac spine following apophysitis. Br J
- Sports Med 2003;37:361-362.
- U. H. Gölge, ve ark. Spina iliaka avulsiyon kırıklarının konservatif tedavisi
- Yildiz C, Yildiz Y, Ozdemir MT, et al. Se¬quential avulsion
- of the anterior inferior iliac spine in an adolescent long
- jumper. Brit J Sport Med 2005;39:e31.
- İmerci A, Akalın Y, Bozoğlan M, et al. Pelvic ring avulsion
- fractures in young footballers: Three cases report. JAEMCR 2014;5:39-42.
- Bülbül M, Ayanoğlu S, İmren Y, Gürbüz H. Genç erişkin
- (adolesan) futbolculardaki spina iliaka anterior inferior
- avulsiyon kırıklarının konservatif tedavisi(iki olgu sunumu). ADÜ Tıp Fakültesi Dergisi 2011;12:49-51.
- Kaymaz B, Eroğlu M. Avulsion fracture of the anterior inferior iliac spine in an uncommon way: A rare case. J Clin Exp Invest 2012;3:267-269.
- Tamam C,Yıldırım D. Avulsion fracture of anterior ınferior
- ıliac spine in a skeletally mature man; mimicking pathologic bone lesion. Eur J Gen Med 2011;8:82-84.
- Dhinsa BS, Jalgaonkar A, Mann B, et al. Avulsion fracture
- of the anterior superior iliac spine: misdiagnosis of a bone
- tumour. J Orthopaed Traumatol 2011;12:173-176.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 9 Temmuz 2015 |
| Gönderilme Tarihi | 9 Temmuz 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 42 Sayı: 2 |