Surgical treatment of an ischial tuberosity avulsion fracture with delayed presentation.
Avulsion fracture
Ischial tuberosity
Paediatric trauma
Sports injury
Journal
Journal of clinical orthopaedics and trauma
ISSN: 0976-5662
Titre abrégé: J Clin Orthop Trauma
Pays: India
ID NLM: 101559469
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
02
06
2019
accepted:
19
07
2019
entrez:
30
1
2020
pubmed:
30
1
2020
medline:
30
1
2020
Statut:
ppublish
Résumé
Avulsion fractures of the ischial tuberosity usually occur in skeletally immature athletes following eccentric contraction of the hamstrings. When displaced fractures are left untreated, subsequent non-union and proximal hamstring fibrosis may lead to chronic pain and reduced activity. However, the indications for and outcomes of operative fixation when presentation is delayed remain unclear. We report the case of a 14 year old male athlete who presented to our institution 6 weeks after sustaining a displaced ischial tuberosity avulsion fracture. He underwent open reduction and internal fixation using a cannulated screw system via a posterior approach, with excellent results at 18 months follow-up. We report our surgical findings in detail as well as a novel method for post-operatively assessing functional screw head prominence-the seated radiograph.
Identifiants
pubmed: 31992908
doi: 10.1016/j.jcot.2019.07.010
pii: S0976-5662(19)30399-6
pmc: PMC6978189
doi:
Types de publication
Case Reports
Langues
eng
Pagination
S4-S6Informations de copyright
© 2019.
Références
J Orthop Trauma. 2006 May;20(5):363-5
pubmed: 16766942
Ann R Coll Surg Engl. 2007 May;89(4):394-9
pubmed: 17535619
BMC Musculoskelet Disord. 2017 Apr 19;18(1):162
pubmed: 28420360
J Athl Train. 2001 Mar;36(1):81-84
pubmed: 12937518
Injury. 2004 Oct;35(10):1071-2
pubmed: 15351680
Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):893-7
pubmed: 23793970
J Bone Joint Surg Br. 1990 Jul;72(4):625-7
pubmed: 2380217
Orthopedics. 2001 Dec;24(12):1127, 1198-200
pubmed: 11770088
BMJ. 2004 Jul 10;329(7457):99-100
pubmed: 15242916
Int J Sports Med. 1997 Feb;18(2):149-55
pubmed: 9081273
Skeletal Radiol. 2001 Mar;30(3):127-31
pubmed: 11357449
Clin J Sport Med. 2015 Jan;25(1):67-72
pubmed: 24662573
Int J Sports Phys Ther. 2014 Dec;9(7):974-90
pubmed: 25540712