Non-traumatic Pelvic Avulsion Fracture: Case Report
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 24
Abstract
Avulsion fractures of the anterior superior iliac spine are rare with a incidence 1.4% of pelvis injuries. This injury met commonly in adolescents, as an avulsion fracture of the apophyses, a result of suddenly and forcefully contraction or repetitive contraction of the sartorius and tensor fasciae latae muscles. Patients feel a severe pain localized in the anterior superior iliac spine on palpation and gait can be affected by pain. A high index of suspicion is necessary for emergency physicians to diagnose this rare injury. Treatment is mostly conservative although surgical treatment is required occasionally. We present a 46 years old man admitted to emergency department with a sudden pain on the right of pelvis after stumbling on the road. Avulsion fracture of anterior superior iliac spine detected by means of pelvis x-ray and computed tomography. Surgical intervention was preferred for this non-traumatic fracture due to bone displacement degree and milimetric exocytosis. Our case was unique according to patient’s age, trauma mechanism and treatment requirement as surgery.
Authors and Affiliations
Bahattin Işık, Muhittin Serkan Yilmaz, Miray Baba, Murat Ongar, Cemil Kavalci, Gulsum Kavalci
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