Pelvic Region Avulsion Fractures in Adolescent Athletes: A Series of 242 Cases.
Journal
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
ISSN: 1536-3724
Titre abrégé: Clin J Sport Med
Pays: United States
ID NLM: 9103300
Informations de publication
Date de publication:
01 01 2022
01 01 2022
Historique:
received:
15
01
2020
accepted:
14
05
2020
pubmed:
18
9
2020
medline:
27
1
2022
entrez:
17
9
2020
Statut:
ppublish
Résumé
The objective of this descriptive study was to evaluate pelvic region avulsion fractures in adolescents, including age of injury, location of injury, activity and mechanism at time of injury, treatments used, duration of treatment, and outcomes. This was a retrospective chart review of patients who presented with pelvic region avulsion fracture over a 19-year period. Private practice, primary care sports medicine clinic. All patients younger than 20 years of age diagnosed with an acute pelvic region avulsion fracture. There was no set intervention protocol. A variety of interventions and combination of interventions were used and determined by the treating physician on a case-by-case basis. Clearance for return toward sport activities. Of the 242 cases, 162 were male. Soccer was the most common sport at the time of injury, and running/sprinting was the most common mechanism. Males were generally older at presentation and were more likely than females to have anterior inferior iliac spine injuries, whereas females were more likely to have iliac crest avulsions. Conservative treatment was effective in all cases. Males were treated for a shorter duration than females, but this difference was not statistically significant. Pelvic avulsion fractures are a rare injury in adolescent athletes. Males are twice as likely to experience these injuries and are older at presentation compared to females. Conservative management leads to successful outcomes in most cases.
Identifiants
pubmed: 32941369
pii: 00042752-202201000-00015
doi: 10.1097/JSM.0000000000000866
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e23-e29Informations de copyright
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
Physical Activity Council. 2019 Physical Activity Council's Overview Report on U.S. Participation [Physical Activity Council Web Site]. 2019. Available at: http://www.physicalactivitycouncil.com/pdfs/current.pdf . Accessed December 19, 2019.
National Federation of State High School Associations. 2018-2019 National High School Athletics Participation Survey [NFHS Web Site]. 2019. Available at: https://www.nfhs.org/media/1020412/2018-19_participation_survey.pdf . Access December 19, 2019.
Sheu Y, Chen LH, Hedegaard H. Sports- and recreation-related injury episodes in the United States, 2011–2014. Natl Health Stat Rep. 2016;99:1–12.
Berry JM. Fracture of the tuberosity of the ischium due to muscular action. J Am Med Assoc. 1912;59:1450.
Lambert MJ, Fligner DJ. Avulsion of the iliac crest apophysis: a rare fracture in adolescent athletes. Ann Emerg Med. 1993;22:1218–1220.
Rosenberg N, Noiman M, Edelson G. Avulsion fractures of the anterior superior iliac spine in adolescents. J Orthop Trauma. 1996;10:440–443.
Veselko M, Smrkolj V. Avulsion of the anterior-superior iliac spine in athletes: case report. J Trauma. 1994;36:444–446.
Zenteno BC. Avulsion fracture of the pelvis in a high jumper: case report. Clin J Sports Med. 1993;3:268–270.
Fernbach SK, Wilkinson RH. Avulsion injuries of the pelvis and proximal femur. AJR Am J Roentgenol. 1981;137:581–584.
Howard FM, Piha RJ. Fractures of the apophyses in adolescent athletes. JAMA. 1965;192:842–844.
Metzmaker JN, Pappas AM. Avulsion fractures of the pelvis. Am J Sports Med. 1985;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, Dragoni S. Acute avulsion fractures of the pelvis in adolescent competitive athletes: prevalence, location and sports distribution of 203 cases collected. Skeletal Radiol. 2001;30:127–131.
Schuett DJ, Bomar JD, Pennock AT. Pelvic apophyseal avulsion fractures: a retrospective review of 228 cases. J Pediatr Orthop. 2015;35:617–623.
Kautzner J, Trc T, Havlas V. Comparison of conservative against surgical treatment of anterior–superior iliac spine avulsion fractures in children and adolescents. Int Orthop. 2014;38:1495–1498.
Parvaresh KC, Upasani VV, Bomar JD, et al. Secondary ossification center appearance and closure in the pelvis and proximal femur. J Pediatr Orthop. 2018;38:418–423.
Liu H, Zhang Y, Rang M, et al. Avulsion fractures of the ischial tuberosity: progress of injury, mechanism, clinical manifestations, imaging examination, diagnosis and differential diagnosis and treatment. Med Sci Monit. 2018;24:9406–9412.
Eberbach H, Hohloch L, Feucht MJ, et al. Operative versus conservative treatment of apophyseal avulsion fractures of the pelvis in the adolescents: a systematical review with meta-analysis of clinical outcome and return to sports. BMC Musculoskelet Disord. 2017;18:162–169.